Fertility Billing & Financial Operations Specialist

Job Description

Job DescriptionDescription:Fertility Billing & Financial Operations Specialist – Terra Fertility

At Terra Fertility, we are reimagining fertility care. Our mission is to make reproductive health more accessible and equitable through transparent pricing, innovative technology, and comprehensive patient education. We believe that everyone—regardless of background, language, or identity—should feel informed, empowered, and supported on their fertility journey.

Position Overview

Fertility Billing & Financial Operations Specialist – Terra Fertility

Key Responsibilities

• Assist patients with treatment cost estimates, ensure signed patient agreements are received prior to treatment start.
• Expected to speak with patients in the office, over the phone, via a patient portal or an Online meeting platform to provide a clear detailed outline of insurance coverage and required deposits for treatments.
• Educate patients on self-pay financial packages and financing options.
• Check online insurance portals to verify current coverage details align with the billing system details.
• Documentation in the Medical EMR and Medical Billing system to ensure appropriate billing of services.
• Review the treatment Query daily to determine cases in progress and organize patient outreach.
• Access online insurance portals for electronic submission of authorization requests in a timely manner.
• Discuss treatment authorization outcome with internal team and patients when appropriate.
• Daily processing of credit card payments in the appropriate payment portal.
• Review and analyze patient accounts to communicate accurate financial status to care teams, prior to treatment starts.
• Provide financial Clearance for intended treatment, once all required deposits and authorization, if needed, are in place.
• Ensure reimbursement is obtained for services provided to non-insured or under-insured patients.
• Support patient requests for refunds or unused pre-paid services. Coordinate refunds with the AR Team.
• Act as a resource for insurance documentation, registration, and account corrections.

Required & Preferred Qualifications

• Bachelor’s degree preferred.
• 3+ years’ experience in healthcare finance or billing required.
• Experience in fertility or OBGYN financial coordination is strongly preferred.
• Proficiency in medical terminology and practice.
• Experience with Electronic Medical Records (EMR).
• Strong proficiency in Microsoft Office (Word, Excel, Outlook).
• Exceptional communication, organizational, and customer service skills.
• Ability to simplify and explain complex financial concepts to patients.

Employment typeThe position is 40 hours per week (Monday–Friday, 8 hours/day).

Full time on site in Dedham, Massachusetts with possibility of hybrid in future.

Compensation & Benefits

• Hourly rate: $25–$40 depending on education, experience and skill set.
• Comprehensive health, dental, and vision insurance.
• 401(k) with employer match starting on Day 1.
• Paid time off and observed holidays.
• Support for ongoing skill development and professional growth.

Diversity & Inclusion

Terra Fertility is an equal opportunity employer. We are committed to building a diverse and inclusive team that reflects the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

How to Apply

Please submit your resume and a brief cover letter outlining your experience and interest in joining Terra Fertility.

Requirements: