Reimbursement Resource Rep. - AR (Hybrid)

Job Description

Job Description

Millennium Physician Group is seeking to hire a full-time Reimbursement Resource Representative AR 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!

Our Reimbursement Resource Representative-AR 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.

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!