Full-Time

Clinic & Billing Specialist

Confirmed live in the last 24 hours

Progyny

Progyny

501-1,000 employees

Fertility benefits management for employers

Healthcare

Compensation Overview

$24 - $28Hourly

+ Bonus + Equity

Entry, Junior

New York, NY, USA

Category
Customer Experience
Customer Support
Customer Success & Support
Required Skills
Salesforce
Data Analysis
Excel/Numbers/Sheets
Requirements
  • Some experience required in a health care environment—knowledge of the fertility industry is strongly preferred.
  • Undergraduate degree strongly preferred
  • Demonstrated ability in Microsoft excel required, and Salesforce knowledge preferred
  • Ability to manage multiple priorities including understanding various insurance products and levels of benefit within each product.
  • Comfortable in an environment with data-driven goals with monthly performance feedback
  • Flexible and unafraid of change
  • Ability to manage difficult conversations and overcome objections required
  • Knowledge of CPT, HCPCS, AND ICD-10 codes and understanding of medical terminology strongly preferred
  • Ability to work independently and demonstrate good judgment
  • Excellent interpersonal skills - ability to communicate accurately and effectively with internal and external stakeholders
  • Highly organized, quick learner, with ability to multitask and prioritize work effectively
Responsibilities
  • Manage a high volume of provider and member calls and emails
  • Cultivate provider network relationships through superior provider service and provide best in-class member experience with a compassionate attitude towards resolving member billing issues
  • Be obsessed with providing the best possible provider and member experience at all times
  • Review, research and analyze complex fertility related claims by navigating multiple systems and platforms and accurately capture the data/information for processing (e.g. verify pricing, prior authorizations, applicable benefits) on a weekly basis
  • Communicate with providers regarding claim payment or required additional information for claims payment
  • Explain financial responsibility as it relates to member deductible, coinsurance, and out-of pocket max; be able to interpret invoices and explain medical billing in a way members will appreciate and understand
  • Interpret and enforce clinic contracts as it relates to covered services and authorizations; be a persuasive speaker in encouraging partner providers to maintain compliance with best practices and guidelines
  • Be flexible and to adapt with evolving business needs

Progyny provides fertility benefits management services to employers, helping them offer comprehensive support for employees seeking fertility treatments and family-building options. Their services include intrauterine insemination (IUI), in vitro fertilization (IVF), fertility preservation, adoption assistance, and surrogacy support. Progyny partners with employers to integrate these benefits into their existing employee packages, aiming to improve clinical outcomes and reduce costs associated with fertility treatments. Unlike many competitors, Progyny focuses on delivering superior clinical results that exceed national averages and ensures a seamless integration into benefits systems. The company's goal is to meet the growing demand for fertility and family-building benefits, supporting employees' reproductive health and well-being.

Company Stage

IPO

Total Funding

$95.6M

Headquarters

New York City, New York

Founded

2008

Growth & Insights
Headcount

6 month growth

13%

1 year growth

25%

2 year growth

70%
Simplify Jobs

Simplify's Take

What believers are saying

  • Increasing employer demand for fertility benefits drives growth in Progyny's sector.
  • Acquisition of Apryl expands Progyny's global reach to over 100 countries.
  • Recognition as a TIME100 and CNBC Disruptor 50 boosts Progyny's market position.

What critics are saying

  • Investigation into potential federal securities law violations could lead to legal challenges.
  • Integration challenges from Apryl acquisition may affect operational efficiency.

What makes Progyny unique

  • Progyny offers comprehensive fertility benefits, including IVF, IUI, and surrogacy support.
  • The company partners with employers to integrate fertility benefits into existing packages.
  • Progyny's clinical outcomes consistently exceed national averages, enhancing its value proposition.

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