Senior Medical Biller

Location: Manhattan, NY (In-Person)

Ferny is a rapidly growing women's health and fertility practice in Manhattan seeking an experienced Senior Medical Biller with a strong background in gynecology, fertility, and laboratory billing.

We are specifically seeking a candidate with hands-on experience in full-cycle medical billing and insurance collections — including claim submission, payment posting, denial management, appeals, insurance follow-up, and reimbursement optimization. This is not a front-desk or eligibility-verification position. The ideal candidate will have a deep understanding of insurance billing workflows and be comfortable independently managing complex claims and high billing volume.

Experience within OB/GYN, reproductive endocrinology/fertility (REI), IVF, and/or laboratory billing is highly preferred. Familiarity with endocrinology, andrology, embryology, and fertility-related procedures is a major advantage.

Key Responsibilities

• Oversee and ensure accurate billing, coding, and claim submission for gynecology, fertility, and related medical procedures
• Manage laboratory billing processes for endocrinology, andrology, embryology, and associated fertility laboratory services
• Handle insurance claims from submission through final resolution, including denials, appeals, corrected claims, and payment reconciliation
• Follow up directly with insurance carriers regarding unpaid, underpaid, or denied claims
• Review provider documentation and charts to ensure billing accuracy and maximize reimbursement
• Provide feedback and guidance to providers and clinical staff regarding documentation and billing optimization
• Submit prior authorizations and maintain familiarity with payer-specific requirements and fertility benefit structures
• Monitor accounts receivable and assist in reducing aging claims
• Maintain compliance with insurance regulations, billing guidelines, and internal policies
• Work collaboratively with management and clinical teams in a fast-paced, high-volume environment
  

Qualifications

• Minimum 5 years of hands-on medical billing experience in a medical office setting (required)
• Strong experience with insurance billing and collections required
• Experience in OB/GYN, fertility, IVF, reproductive endocrinology, or laboratory billing strongly preferred
• Medical Billing Certification required
• Excellent understanding of CPT, ICD-10, HCPCS coding, EOB interpretation, and claim workflows
• Strong knowledge of medical and laboratory terminology
• Ability to independently problem-solve complex billing issues and payer denials
• Excellent organizational, multitasking, verbal, and written communication skills
• Ability to work efficiently in a fast-paced clinical environment

Job Type

Full-time

In-person position

Benefits

• 401(k)
• 401(k) matching
• Health insurance
• Dental insurance
• Paid time off

Location Requirement

Candidates must be able to reliably commute to Manhattan