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Patient Financial Services Specialist
2 months ago
Patient Financial Services Specialist - Customer Support
Full-Time Position
Millennium Physician Group is excited to welcome a dedicated Patient Financial Services Specialist to our esteemed Medical Billing and Business Services Team. We are in search of an enthusiastic individual who thrives in a dynamic environment, possesses exceptional multitasking abilities, and enjoys engaging with patients. Our primary goal is to ensure a superior patient experience.
Key Qualifications: Bilingual (Spanish & English preferred)
- Experience in Physician Billing
- Knowledge of Explanation of Benefits (EOBs)
- Able to handle high call volumes
- Proficient in customer issue resolution
The Patient Financial Services Specialist plays a crucial role in assisting patients, healthcare providers, and internal customers with billing inquiries. This position involves managing insurance claims and patient accounts in accordance with departmental protocols and utilizing MPG electronic systems. A comprehensive understanding of insurance billing, reimbursement processes, CPT codes, modifiers, and fee schedules is essential. Additionally, the role requires the ability to interpret explanations of benefits and effectively communicate their implications to customers. This position entails conducting both telephonic and in-person discussions with patients regarding account resolutions and payment collections, as well as through secure messaging platforms. The specialist will also assist clients with hardship applications, payment arrangements, and service eligibility inquiries. Excellent verbal communication, interpersonal skills, and a professional demeanor are vital for interacting with customers.
Core Responsibilities include, but are not limited to:
- Exhibiting outstanding interpersonal skills with patients, colleagues, and insurance representatives.
- Safeguarding patient information in compliance with HIPAA regulations.
- Processing and posting payments to accounts on the same day.
- Addressing patient concerns promptly, ideally within the same day.
- Adhering to timelines for reprocessing claims after updating accounts with new information as provided by patients or providers, in line with insurance carrier guidelines.
- Maintaining advanced knowledge of CPT codes and modifiers.
- Staying informed about claim adjudication rules set by insurance carriers.
- Meeting or exceeding monthly performance metrics and evaluations.
- Reporting call trends to management for potential escalation when necessary.
This role offers competitive compensation along with a comprehensive benefits package, which includes a 401(k) plan with matching contributions and generous paid time off. We also provide opportunities for professional development and foster a collaborative team environment that encourages innovative service delivery and ownership of outcomes in providing exceptional support.
Essential Knowledge and Experience
A minimum of an Associate's degree or equivalent from a two-year college or technical institution; or six months to one year of relevant experience and/or training; or a suitable combination of education and experience. Experience in the healthcare and insurance sectors, along with a thorough understanding of insurance billing and reimbursement processes, CPT codes, modifiers, and fee schedules, is required.
Required Skills and Competencies
To excel in this role, candidates should possess strong computer skills and familiarity with EMR systems; knowledge of Athena is preferred but not mandatory. The individual will be required to perform venipuncture. While fulfilling the responsibilities of this position, the employee may occasionally need to stand, walk, stoop, kneel, crouch, or crawl.
Benefits Include:
- Three weeks of paid time off and seven paid holidays
- Medical, Dental, and Vision coverage
- Employer-paid Basic Life and Short-Term Disability insurance (effective after one year of full-time employment)
- 401(k) plan with matching contributions
- Employee Wellness programs
- Additional employee discount programs
- Other benefits: Dependent Care FSA, Voluntary Life, Long-Term Disability, Critical Illness, Pet Insurance, and more
Why Choose Millennium?
Millennium Physician Group stands as one of the largest comprehensive primary care practices with healthcare providers throughout Florida.
At Millennium Physician Group, we emphasize family values and the importance of building a robust network of care for the communities we serve. We continuously seek individuals who exhibit a strong customer service orientation, exceptional teamwork capabilities, and a friendly demeanor.
Our commitment is to equip you with the necessary tools for success while fostering a team atmosphere that empowers you to explore innovative approaches to patient care. We also prioritize your individual growth within Millennium Physician Group.
If you are looking to join an organization that values teamwork and community, Millennium Physician Group is the ideal choice.
