What are the responsibilities and job description for the Reimbursement Resource Representative - CSR position at Millennium Physician Group?
Millennium Physician Group is seeking a full-time Reimbursement Resource Representative CSR to join our 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!
The Reimbursement Resource Representative-CSR is responsible for providing support to patients, providers and customers internally and externally on billing related inquiries. The employee works insurance claims and patient accounts using departmental 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
Bilingual candidates, preferred. 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 healthcare 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.
Please review the full job description for more details about this exciting opportunity.
ABOUT MILLENNIUM PHYSICIAN GROUP
Formed in 2008, Millennium Physician Group has grown into one of the largest comprehensive primary care practices with more than 400 health care providers located throughout Florida. With corporate headquarters in Fort Myers, Florida, Millennium Physician Group consists of primary care offices, Imaging Centers, Lab Services, Physical Therapy, and Wellness Programs. We also have several administrative departments supporting our medical offices, such as Quality Assurance, ACO, Business Services, Coding ACO, IT, Human Resources, and more.
If you are interested in joining an organization that emphasizes teamwork and family, then Millennium Physician Group is the right choice.
Millennium's core values summarize how we treat others, patients, and fellow community members. Millennium CARES for every patient every time.
ARE YOU READY TO JOIN OUR BUSINESS SERVICES TEAM? If you are the right candidate for this position, please click the link to apply today. We look forward to meeting you!
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