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Reimbursement Resource Representative

5 months ago

Fort Myers, United States Millennium Physician Group Full time
Job DescriptionJob Description

Reimbursement Resource Rep - Customer Service Rep

Full Time (Monday-Friday 8AM-5PM)

2675 Winkler Ave, Fort Myers, FL

Millennium Physician Group is seeking to hire a full-time Reimbursement Resource Representative CSR to join our Medical Billing/Business Services Team in the Fort Myers, FL, area. We are looking for a new team member who is -positive, energetic, able to multi-task, and loves patient interaction. We want someone who supports our top initiative of ensuring an excellent patient experience

Requirements: Bilingual (Spanish & English preferred)

  • Experience in Physician Billings
  • Understanding EOBs, and
  • Can manage high-call volume
  • Customer resolutions

The Reimbursement Resource Representative-CSR is responsible to provide support to patients, providers and customers internally and externally on billing related inquiries. The employee works insurance claims and patient accounts using department guidelines and MPG electronic systems. The position requires a thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers and fee schedule differences. Also requires understanding of how to decipher explanation of benefits and explain the impact to the customer. Position requires the ability to conduct both telephone and face to face meetings with patients regarding account resolution and payment collection as well as via portal messaging. Assist customers with hardship applications, payment plans and eligibility for services. Expert verbal communication, interpersonal skills and professional appearance required for dealing with customers.


Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Demonstrates excellent interpersonal skills with patients, coworkers and insurance carriers.
  • Ensures the protection of patient information from unauthorized inquiries and is well-versed with all HIPPA Guidelines.
  • Processes and posts payments to accounts same day.
  • Resolves patient complaints within a minimal timeframe, same day whenever possible.
  • Meets timelines for reprocessing Athena claims after updating the account with new information as provided by patients or physicians within the guidelines and timeframes permitted by the insurance carrier.
  • Maintains advanced knowledge of cpt and modifiers.
  • Maintains knowledge of Claim adjudication carrier rules.
  • Meets or Exceeds monthly performance goals, expectations and reviews.
  • Communicates call trends to managements when needed for possible escalation.

This position earns competitive compensation plus a full benefits package, including 401(k) with match and three weeks of PTO We also offer opportunities for growth, as well as a great team atmosphere that empowers you to seek better ways to deliver service and take ownership of outcomes in providing quality service and support.


Required Knowledge and Experience

Associate's degree or equivalent from two-year college or technical school; or six months to one-year related experience and/or training; or equivalent combination of education and experience. Experience working in health care and insurance industry and thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers, and fee schedule differences required.


Required Skills and Abilities

To perform this job successfully, an individual should have strong computer skills and knowledge of EMR systems; Athena knowledge preferred but not required. The individual will be required to perform venipuncture. While performing the duties of this job, the employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl.


Benefits:

  • 3 weeks PTO & 7 paid holidays
  • Medical, Dental, Vision
  • Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)
  • 401(k) with match
  • Employee Wellness
  • Other Employee Discount programs like Tickets at Work and cell phone discounts
  • Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

See Full Job Description for more details


Why Millennium?

Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.

At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.

Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group.

If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice.



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