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Reimbursement Resource Rep.
2 months ago
REIMBURSEMENT RESOURCE REP-ACCOUNTS RECEIVABLE
FULL TIME (MONDAY-FRIDAY 8AM-5PM)
FORT MYERS, FL
Millennium Physician Group is seeking to hire a full-time Reimbursement Resource Representative Accounts Receivable to join our Medical Billing/Business Services Team. 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:
- 2+ years experience in insurance carrier appeals
- Athena EMR preferred
- Hybrid opportunity earned - 3 days remote, 2 days in-office
Our Reimbursement Resource Representative-Accounts Receivable is responsible for claim resolution and payment. 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.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Accurately communicates and documents patient information for both pre and post visit data collection.
- Communicates trends/issues identified with processes, carriers or provider responses.
- Coordinates the completion of carrier attestation forms, supporting documentation or other documents are submitted to the specific carriers through established workflows in a timely manner post visit. This will allow MPG and our carriers to have the most current and accurate reflection of the patient's medical status and eliminate HCC Gaps due to un-submitted documentation.
- Utilizes daily schedules, carrier website, forms, fax/scanners etc. to complete daily tasks while maintaining HIPAA privacy restrictions.
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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