Payment Support Specialist

Mosaic Health, LLC.

Fort Myers, FL

# Medical Billing & Collections Specialist IApplylocations: Fort Myers, FLtime type: Full timeposted on: Posted Yesterdayjob requisition id: M104247**Job Description Summary**The Medical Billing and Collections Specialist is responsible for providing effective and accurate resolution of complex posting issues as identified through the Practice Management System (PMS). They are responsible for the in-depth research, validation of overpayments and unapplied funds and processing of both patient and carrier requested refunds as appropriate. The Payment Support Specialist must research, troubleshoot, and ensure the accuracy of posted payments and rejections and provide relevant trending to the management team. They will respond to requests for additional information needed by the carrier in order to make a determination of payment. Opens and balances daily payment batches when applicable, prepares daily reports and submits to appropriate areas. The Medical Billing and Collections Specialist is responsible to communicate posting errors identified with the PM system and complete dashboard assignments. The candidate is responsible for processing all incoming and out bound mail as well as complete assignments related to electronic deposits and refund processes.**How will you make an impact & Requirements****This is a hybrid role, Monday-Thursday-2675 Winkler Ave Ft. Myers, FL****Friday Work from Home. Work shift is flexible.**Essential Duties and Responsibilities include the following:· Daily mail sort· Manual posting and batch reconciliation as needed.· Processing of electronic deposits· Preparation of BYOLB packet to Practice Management Company· Preparation of daily reconciliation forms and communications for Finance Department· Process assigned work in the PM Dashboard including Unpotable and Correspondence dashboards, Overpaid and Unapplied worklists and any associated refunds. Carrier overpayments to be processed in accordance with CMS required timelines.· Timely follow up on outstanding research requests to payors, PM system cases etc.)· Process refund checks· Process collection agency payments as needed.· Process correspondence and complete appropriate workflows relating to Bankruptcy notifications and Probate.### About UsFounded in Port Charlotte on the Southwest Florida coast in 2008, Millennium is quickly becoming one of the most successful and fastest-growing physician groups in the country. We are physician-led, meaning we value our physicians’ insights to guide our continued success, and we trust them to provide the best care for their patients. Our team works together to ensure the best interests of our healthcare providers remain at the center of all we do. In recognizing that physicians are the foundation of our organization, we’ve achieved industry-leading physician engagement and nation-leading results.### Who we areMosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. The Business Units which comprise Mosaic Health are multi-payer and serve nearly one million consumers across 19 states, providing them with access to high quality primary care, integrated care teams, personalized navigation, expanded digital access, and specialized services for higher-need populations. Through Mosaic Health, health plans and employers have an even stronger care provider partner that delivers affordability and superior experiences for their members and employees, including value-based primary care capacity integrated with digital patient engagement and navigation. Each of the companies within Mosaic Health provide unique offerings that together promise to improve individuals' health and wellbeing, while helping care providers deliver higher quality care. For more information, please visit Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.If you require an accommodation for the application or interview process, please let us know and we will work with you to meet your needs. Please contact View email address on click.appcast.io for assistance.
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Vacancy posted 2 days ago

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