Insurance Referral Authorizations Representative-CSR Job at Millennium Physician Group

Millennium Physician Group North Fort Myers, FL 33903

Millennium Physician Group is seeking to hire a Full-Time Insurance Ref/Auth Coordinator - CSR to join our team in N. Fort Myers, FL. We are looking for a positive, energetic, well-organized candidate, can multi-task and think outside of the box. Additionally, we want someone who supports our top initiative of ensuring an excellent patient experience!

Job Description: Insurance Referral Authorizations Rep-CSR

The Insurance Referral/Authorization Representative-CSR is responsible to provide support to patients, providers, and customers internally and externally on Insurance Referral/Authorization related inquiries. The employee works all inbound calls pertaining to Insurance Referral/Authorizations. The position requires a thorough knowledge of insurance carrier requirements for Referrals/Authorizations. Also requires understanding of how to decipher explanation of benefits and explain the impact to the customer. Position requires the ability to conduct telephone meetings with patients regarding Insurance, Referral/Authorizations as well as via portal messaging. Expert verbal communication, interpersonal skills and professional appearance required for dealing with customers. Additional duties as required.

Job Standards:

  • Demonstrates excellent interpersonal skills with patients, co-workers, and insurance carriers
  • Well versed with all HIPPA Guidelines to ensure the protection of patient information from unauthorized inquiries
  • Resolves patient complaints within a minimal timeframe, same day whenever possible
  • Ensures customers are directed to the appropriate person for next steps
  • Meets timelines for reprocessing Referral/Authorizations after updating the account with new information as provided by patients or physicians within the guidelines and timeframes permitted by the insurance carrier
  • Advanced knowledge of Insurance carrier guidelines
  • Phones answered & voicemails returned within same day
  • Conducts themselves in accordance with MPG Policies and Procedures including the Code of Conduct
  • Meets or Exceeds monthly performance goals, expectations, and reviews
  • Communicates call trends to managements when needed for possible escalation
  • Actively participates in team meetings and educational opportunities


Required Skills and Abilities

Communication: Ability to read and interpret documents and written instruction. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations

Computer Skills: Proficiency with software applications, including Microsoft Office Suite.


Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to handle or feel; reach with hands and arms; climb or balance; talk or hear and smell. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.


Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate depending on the business activity at the office.


This position earns competitive compensation plus a full benefits package including 401(k) with match and 3 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.

For more information about this opportunity, please see the full job description.

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, and Wellness Programs. You can also find various programs, such as weight management and smoking cessation, led by Millennium Physician Group doctors.


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 TEAM! If you feel that you would be right for this position, please click the link to apply today. We look forward to meeting you!




Please Note :
apexdining.ca is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, apexdining.ca provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.