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Billing and Collection Specialist

icon building Company : Us Fertility
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Job Description - Billing and Collection Specialist

Build What Matters Most—Families, Futures, and Your Career


Enjoy meaningful work while contributing to an organization that changes lives every day. Ovation, the nation’s leading partnership of physician-led fertility practices, is redefining what it means to build a career in reproductive medicine.


Our team members choose to build their career home at US Fertility because of the hope we inspire in our patients, the lives we help bring into the world, and the culture of excellence we foster across our organization.  We share a deep commitment to continuously improving the patient experience and advancing research and development in one of the most dynamic and impactful fields of medicine.


Through our national network of premier fertility centers we combine clinical expertise, scientific innovation, and compassionate care.  The work we do building families offers purpose, challenge, and personal reward—and we’re just getting started.


Opportunity Overview


We have an immediate opening for a Billing and Collection Specialist to join our remote team at Ovation.



  • Schedule: Monday through Friday, 8:00AM to 4:30PM CST


This role provides the opportunity to grow within a nationally respected organization while remaining closely connected to the patients and teams you support every day.


How You’ll Contribute


At US Fertility, collaboration is fundamental to how we work.  There is undeniable strength in numbers—and support is always within reach. Whether collaborating with more than 200 highly respected physicians nationwide or partnering with colleagues who are passionate about solving meaningful problems, you’ll be surrounded by a team committed to shared success.


In this role, the Billing and Collection Specialist will:



  • Maintains excellent customer service

  • Respond to patient & internal inquiries within 24-48 hours; including emails and voice messages

  • Process and post credit card payments

  • Knowledgeable on FDCPA requirements and Shady Grove Fertility Financial Programs

  • Utilize reports to identify patient balances, move unapplied credits, and contact patients to collect payment

  • Utilize collection module or spreadsheet to work past due accounts

  • Review patient balance, payments, and or adjustments for accuracy

  • Review, skip trace mail returned statements

  • Answer incoming calls and follow up with patients if necessary

  • Responsible for balancing work daily

  • Apply credit money to open encounters as appropriate

  • Research account credits and create refund tasks following the current refund policy and procedure

  • Apply adjustments utilizing accurate adjustment codes.  PC adjustments have appropriate back up documentation

  • Process NSF checks & chargebacks per policy and procedure

  • Post collection check(s) monthly

  • Prelist accounts for collections

  • Emailing Dr(s) collection write off requests

  • Processing accounts to bad debt utilizing NextGen’s bad debt function

  • Generate demand for payment letters to patients as necessary

  • Responsible for giving call volume, and any applicable feedback to supervisor to improve patient satisfaction

  • Document accounts accurately utilizing Artworks and NextGen

  • Review accounts receivable reports monthly to evaluate accounts aging over 90 days

  • Prepares collections accounts and transmits patient demand letters on a daily, weekly, or monthly basis

  • Reviews and processes accounts for bad debt. Prepares appropriate accounts for supervisor review

  • Communicates effectively with patients, coworkers, and supervisors

  • Able to work within a team setting (i.e. assisting team members and sharing knowledge)

  • Other duties as assigned


What You’ll Bring


We’re looking for professionals who bring both technical skill and a deep sense of responsibility to the care experience—individuals who thrive in environments where excellence, empathy, and accountability matter.


Qualifications and Skills Include:



  • Associate Degree in accounting or business. High School Diploma acceptable with appropriate hands-on experience

  • Minimum 2 years' experience with associate degree, or minimum 5 years' experience without associate degree

  • Ability to access, input, and retrieve information from a computer. Medical software program experience required

  • Microsoft excel experience

  • Knowledge of office procedure and office machines (i.e., computer, fax, copier, etc.)

  • Ability to demonstrate good judgment

  • Ability to communicate accurately and concisely

  • Ability to remain calm and poised under stress

  • Excellent interpersonal skills


More important than any single credential, however, is the right person.  Team members who are most successful at US Fertility embrace our mission, live our values, and remain committed to continuous improvement—for themselves, their colleagues, and the patients we serve.


What We Offer

US Fertility is proud to provide a competitive, comprehensive benefits package designed to support our team members—professionally and personally—across all employment types.


Full-Time Employees (30+ hours/week)



  • Medical, dental, and vision insurance

  • 401(k) with company match

  • Tuition assistance and professional development support

  • Performance-based bonus opportunities

  • Generous paid time off, paid holidays, and paid parental leave

  • Life and disability benefits

  • Fertility Discount Program

  • Employee wellness and recognition programs 


Part-Time Employees



  • 401(k) with company match

  • Performance-based bonus opportunities

  • Employee wellness and recognition programs


Per Diem Employees



  • 401(k) with company match

  • Employee wellness and recognition programs 


Our Commitment to Inclusion and Opportunity


US Fertility and its network partners believe that a diverse workforce is essential to fulfilling our mission of expanding patient access to the highest standards of fertility care.  We are committed to equitable and inclusive hiring practices that ensure our clinical and operational teams reflect and support the diverse communities and patients we serve. 


Across our national footprint, US Fertility is a leader in offering clinical, administrative, and operational career opportunities at locations throughout the United States.  We are equally committed to developing individual strengths, promoting from within, and supporting long-term career growth.


This is a moment of growth, innovation, and impact.  Take the next step in your career with US Fertility—and help shape the future of fertility care.

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