Medical Billing Specialist

Location: San Diego, California

Job Title: Medical Billing Specialist

Salary Range: $25 - $28 Per Hour

About Us:

Reproductive Partners San Diego is a leading Southern California fertility clinic, internationally and nationally recognized for our success in IVF - in vitro fertilization, egg freezing and other fertility treatments for our patients.

Job Description:

The Medical Billing Specialist plays a key role in the financial operations of our fertility clinic by ensuring accurate and timely billing of patient accounts, insurance claims processing, and payment posting. This role supports revenue cycle functions by working closely with front office staff, clinical teams, and insurance providers to resolve billing issues and ensure optimal reimbursement in compliance with regulatory standards and clinic policies. Your responsibilities will include, but are not limited to:

Key Responsibilities:

· Review and process daily billing for fertility-related services, including IVF, IUI, lab testing, and surgical procedures

· Submit electronic and paper insurance claims accurately and in a timely manner

· Review EOBs, identify claim denials or underpayments, and initiate follow-up with payers

· Respond to insurance and patient inquiries regarding billing, balances, and payment plans

· Post insurance and patient payments, adjustments, and refunds accurately

· Maintain up-to-date knowledge of payer policies, fertility-specific coding, and prior authorization requirements

· Collaborate with clinical and administrative teams to resolve documentation or coding discrepancies

· Monitor aging reports and follow up on outstanding receivables to minimize bad debt

· Prepare patient statements and assist with prepayment estimates and financial counseling when needed

· Comply with HIPAA, billing regulations, and all clinic policies and procedures

· Participate in audits, training, and departmental meetings as required

Qualifications:

· High school diploma or equivalent required; Associate’s degree or certificate in Medical Billing/Coding preferred

· Minimum of 2 years of experience in medical billing, preferably in a fertility or women’s health setting

· Working knowledge of ICD-10, CPT, and HCPCS codes

· Familiarity with fertility-related billing procedures and payer requirements is highly preferred

· Experience with medical billing software (e.g., eIVF, Nextech, Athena, or similar)

· Strong understanding of commercial insurance, authorization processes, and patient responsibility

· Excellent attention to detail, organizational skills, and ability to work independently

· Effective written and verbal communication skills

Benefits:

· Competitive salary.

· Health, dental, and vision insurance options.

· Retirement savings plan.

· Paid time off and holidays.

· Opportunities for professional development and growth.

· A friendly and supportive work environment.

To perform the job successfully, an individual should demonstrate the following competencies:

Customer Service – Displays courtesy and sensitivity; Manage difficult or emotional patient situations; Respond promptly to patient needs; Meet commitments.

Dependability – Commit to doing the best job possible; Follow instructions, respond to management direction; Keeps commitments; Meets attendance and punctuality guidelines; Responds to requests for service and assistance; Take responsibility for own actions.

Job Knowledge – Competency in required job skills and knowledge; Displays understanding of how job relates to others; Exhibit ability to learn and apply new skills; Require minimal supervision; Uses resources effectively.

Teamwork - Balance team and individual responsibilities; Exhibit objectivity and openness to others' views; Give and welcome feedback; Contribute to building a positive team spirit; Put success of team above own interests; Gives and welcomes feedback.

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Employees will follow any other instructions, and perform any other related duties,

as assigned by their manager.

RPSD is an equal opportunity employer and welcomes applicants from all backgrounds to apply.