Reimbursement Resource Representative - Payer Schedule Support

Job Description

Job Description

Millennium Physician Group is seeking to hire a full-time / Reimbursement Resource Representative Payer Schedule Support to join our Quality 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-PSS is responsible for the formatting, uploading, and maintenance of MPG Fee and Allowable Schedules based upon the specifics of our group or individual contracts with payers.

He / She is responsible for performing scheduled reports and subsequent research of data to ensure schedules are loaded accurately, and carriers are providing reimbursement in accordance with these schedules.

The PSS will also perform ad hoc reporting as requested by management regarding Fee Schedules, Allowable Schedules, Carrier specific trending, etc.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Effectively format, upload, monitor, and report on MPG Fee and Allowable schedules in the practice management system.
• Supports the management team with scheduled and ad hoc reporting on all payment schedules as assigned.
• Meet timelines for uploading new schedules to ensure the accuracy of contractual adjustments per payer contracts.
• Demonstrate interpersonal skills with co-workers and insurance carriers
• Advanced knowledge of CPT, fee affecting Modifiers and contract verbiage
• Correspondence & voicemails returned within one business day
• Claim adjudication carrier rules are current and meet / exceed monthly performance goals, expectations, and reviews.
• Monitors reimbursement trends for potential carrier contract issues and effectively communicates these issues with management.
• Actively participates in team meetings and educational opportunities.

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.

Millennium Physician Group is proud to be an Equal Opportunity Employer and a Drug-Free Workplace. Additionally, Millennium is proud to join the nearly 3,000 health system and physician groups who have gone completely Tobacco Free.

ARE YOU READY TO JOIN OUR QUALITY TEAM? If you are the right candidate for this position, please click the link to apply today.

We look forward to meeting you!

MPG1

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