Fertility Billing & AR Specialist at Terra Fertility PLLC – Dedham, Massachusetts

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.

Fertility Billing & AR Specialist – Terra Fertility

1. Revenue Cycle Analytics & Performance Optimization
   Own AR performance metrics including days in AR, denial rates, payer turnaround time, and collection yield; analyze trends and implement process improvements to maximize reimbursement.
2. Claims Strategy & Payer Management
   Oversee end-to-end claims lifecycle (submission ? adjudication ? payment), identify systemic payer issues, and drive resolution strategies for denials, underpayments, and delayed claims.
3. Financial Data Integrity & Reconciliation
   Ensure accuracy of charge capture, coding, payment posting, and contractual adjustments; reconcile EOBs, ERAs, and bank deposits with monthly close reporting.
4. Denials, Appeals & Root-Cause Analysis
   Lead denial prevention through root-cause analysis, documentation optimization, and workflow improvements across clinical, front desk, and authorization teams.
5. Operational Leadership & Process Improvement
   Serve as the analytical backbone of the billing function — building dashboards, training staff, improving SOPs, and scaling systems as Terra grows.
   

• Bachelor’s degree preferred (Finance, Business, Healthcare Administration, Analytics, or related field)
• Minimum 5+ years of healthcare billing & AR experience (fertility, surgical, specialty care preferred)
• Supervisory or leadership experience strongly preferred
• Demonstrated strength in data analysis, reporting, and process optimization
• Advanced Excel/Sheets skills; experience with billing systems, ERAs, clearinghouses, and payer portals

• Full time-40 hours/week
• Full time on site in Dedham MA with possibility of hybrid in future

• Hourly rate: $30–$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.

Terra Fertility is an equal opportunity employer and is committed to fostering an inclusive, diverse, and equitable work environment. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. If you require reasonable accommodations during the hiring process or in the performance of your job, please contact us at info@terrafertility.com.

As a condition of employment, Terra Fertility requires all team members to be fully vaccinated against COVID-19 and influenza.

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