Financial Services Representative

Center for Advanced Reproductive Services
Position: Financial Services Representative
Department: Financial Counseling / Revenue Cycle 
Reports To: Financial Services Manager 
Location: Danbury, CT
Typical Hours: Monday-Friday, 7:30am-4:30pm or 8:00am-5:00pm

Position Summary
The Financial Services Representative (FSR) plays a critical role in supporting patients through the financial aspects of fertility care. This position is responsible for insurance verification, financial counseling, treatment cost estimates, and payment coordination for fertility services, including diagnostic testing and treatment. The FSR serves as a knowledgeable, compassionate resource for patients navigating complex coverage and payment options.

Key Responsibilities:

Patient Financial Counseling

• Provide clear, empathetic financial counseling to patients regarding fertility treatment costs, insurance benefits, and out-of-pocket responsibilities
• Review treatment plans with patients and explain financial obligations prior to the start of care
• Assist patients with understanding coverage for diagnostic services, infertility treatments, IVF, IUI, fertility preservation, and related medications

Insurance Verification & Authorization

• Insurance verifications and prior authorizations are performed by a third-party partner; however, ultimate responsibility for accuracy and follow-up remains with this role.
• Verify insurance eligibility and benefits for infertility and reproductive services
• Obtain prior authorizations and referrals as required
• Communicate with insurance carriers to resolve benefit questions, denials, and coverage discrepancies

Billing & Payment Coordination

• Generate accurate treatment estimates/consents and collect payments according to clinic policy coordinating with third-party financing programs as needed to facilitate patient payment arrangements
• Ensure financial clearance prior to services/treatment start dates
• Completes verification of superbills in a timely manner monitoring accounts for accuracy and completeness

Collaboration & Documentation

• Work closely with physicians, nursing staff, and clinical coordinators to align financial and clinical workflows
• Maintain accurate and timely documentation in the electronic medical record (EMR) and billing systems
• Support compliance with clinic policies, payer requirements, and HIPAA regulations

Patient Advocacy & Support

• Serve as a patient advocate by addressing financial concerns with professionalism, discretion, and sensitivity
• Respond promptly to patient inquiries via phone, email, and in person
• Contribute to a positive patient experience during what can be a highly emotional treatment journey

Qualifications

Required

• High school diploma or equivalent
• Minimum of 2 years’ experience in medical billing, insurance verification, or financial counseling
• Strong understanding of insurance plans, benefits, and prior authorization processes
• Excellent communication, organizational, and customer service skills

Preferred

• Experience in infertility, reproductive endocrinology, OB/GYN, or specialty medical practice
• Familiarity with ART procedures and fertility benefit structures
• Experience with EMR and practice management systems
• Associate’s or Bachelor’s degree in healthcare administration, business, or related field

Skills & Competencies

• Compassionate and patient-centered approach
• Ability to explain complex financial and insurance information clearly
• Strong attention to detail and accuracy
• Ability to manage multiple priorities in a fast-paced clinical environment
• Professionalism and discretion when handling sensitive information

Work Environment

• Clinical office setting within an infertility practice
• Frequent interaction with patients, providers, and insurance carriers