Reimbursement Resource Representative - CSR NC/GA

Millennium Physician Group • Fort Myers, FL

70d

About The Position

Millennium Physician Group is seeking to hire 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 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.

Requirements

• 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.
• Thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers, and fee schedule differences required.

Nice To Haves

• Strong computer skills and knowledge of EMR systems; Athena knowledge preferred but not required.
• Ability to perform venipuncture.

Responsibilities

• 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.

Benefits

• Competitive compensation plus a full benefits package.
• 401(k) with match.
• Three weeks of PTO.
• Opportunities for growth.
• Great team atmosphere.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees