Clinic and Billing Specialist

Job Summary

A company is looking for a Clinic and Billing Specialist to manage member and provider interactions regarding billing and authorizations.

Key Responsibilities

• Manage high volume of provider and member in-bound calls and emails
• Cultivate provider network relationships and resolve member billing issues
• Review and analyze complex fertility-related claims for accurate processing

Required Qualifications

• 1-3 years of experience in a health insurance environment; knowledge of the fertility industry preferred
• Undergraduate degree strongly preferred
• Demonstrated ability in Microsoft Excel; Salesforce knowledge preferred
• Knowledge of CPT, HCPCS, and ICD-10 codes, and understanding of medical terminology strongly preferred
• Ability to manage difficult conversations and demonstrate good judgment