Billing Specialist

POSITION OVERVIEW

Do you have a passion for helping create families? Virginia IVF is seeking a detail-oriented and motivated Billing Specialist to join our Revenue Cycle team. In this role, you will be responsible for ensuring accurate and timely claim submission, charge review, and patient billing using our EMR system. Experience in fertility or reproductive medicine is a strong plus, and candidates with a professional coding certification are highly encouraged to apply.

JOB RESPONSIBILITIES

• Complete accurate diagnosis and procedure coding to ensure clean claims are submitted to insurance carriers or billed directly to patients.
• Review patient treatment cycles to confirm all applicable codes were entered and that no treatment codes were missed.
• Approve charges entered by Charge Entry Specialists, verifying accuracy and completeness prior to claim submission.
• Complete tasks and messages promptly; respond to all emails and faxes on the same business day.
• Perform post-cycle audits on insurance and third-party cycles to confirm all services have been posted and appropriately billed.
• Investigate and resolve patient and insurance company inquiries related to services, billing discrepancies, fees, or charges.
• Follow up on unpaid or denied claims within 30 days; appeal underpaid, denied, or pended claims in a timely manner.
• Contact insurers and patients regarding delinquent accounts and coordinate collection efforts in compliance with clinic policy.
• Post insurance and patient payments accurately; process refund requests as needed.
• Maintain a working knowledge of medical terminology, ICD-10/CPT coding guidelines, and payer-specific billing requirements.
• Uphold patient confidentiality and demonstrate dignity and respect in all interactions with patients, families, and staff.
• Perform other duties as assigned.

MINIMUM QUALIFICATIONS

• High school diploma or GED required.
• Proficiency in Microsoft Word and Excel.
• Minimum typing speed of 40 words per minute.
• Experience working with EIVF, nAble experience strongly preferred.
• Excellent customer service skills via phone and digital communication.
• Exceptional organizational skills and meticulous attention to detail.
• Ability to manage multiple priorities and meet same-day response expectations.

PREFERRED QUALIFICATIONS

• Active professional coding certification (CPC, CCS, CCS-P, or equivalent).
• 1+ year of medical billing and coding experience.
• Experience in a fertility, reproductive endocrinology, or OB/GYN clinical setting.
• 1+ year of medical office or healthcare administrative experience.
• 1+ year of customer service experience in a healthcare environment.
• Familiarity with IUI, IVF, and fertility treatment billing protocols.
• Working knowledge of insurance authorization processes for fertility cycles.
• Associate degree or higher in Healthcare Administration, Business, or a related field.

KNOWLEDGE, SKILLS & ABILITIES

• Knowledge of medical billing and collection practices, CPT, ICD-10, and HCPCS coding.
• Understanding of third-party payer operating procedures, EOBs, and claim adjudication processes.
• Familiarity with legal, regulatory, and governmental provisions related to medical billing.
• Skill in establishing and maintaining effective relationships with patients, insurance representatives, and clinical staff.
• Ability to interpret and apply credit and collection policies accurately and courteously.
• Ability to examine medical documentation for accuracy, completeness, and coding compliance.
• Strong written and verbal communication skills.

Ivy Fertility is an equal opportunity employer. Employment decisions are based on merit, qualifications, performance, and business needs. Ivy Fertility does not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, sex, sexual orientation, gender identity or expression, veteran status, or any other status protected by applicable federal, state, or local law.