Formed in 2008 and headquartered in Fort Myers Florida with offices in Florida North Carolina and Texas Millennium Healthcare is the largest independent physician group in the state of Florida and one of the largest in the United States. At Millennium Physician Group our employees are the foundation of our success. Our promise is to provide you with the tools to do your job successfully as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role

The Revenue Cycle Payor Analyst is responsible for ensuring the financial health of the organization by managing and optimizing the revenue cycle process. This position is responsible for handling payor-related activities including claims submission follow-up denial management and resolution of payment discrepancies. The Specialist will have a strong understanding of payor policies healthcare billing practices and revenue cycle workflows with the ability to work independently and collaboratively to meet departmental goals.

• Prepare review and submit accurate claims to payors on time.

• Monitor claims for errors rejections and compliance with payor requirements.
• Analyze and resolve claim denials by identifying root causes and implementing corrective actions.
• Prepare and submit appeals for denied claims ensuring proper documentation and adherence to payor guidelines.
• Review and reconcile payments received from payors against expected reimbursement.
• Investigate and resolve payment discrepancies including underpayments and overpayments.
• Serve as the primary point of contact for payors to address claim-related inquiries and issues.
• Maintain up-to-date knowledge of payor policies procedures and contract terms.
• Ensure compliance with federal state and local regulations as well as organizational policies.
• Maintain accurate and detailed records of all claim activities communications and resolutions.
• Collaborate with internal teams including coding billing and patient financial services to streamline processes and resolve issues.
• Generate and analyze reports on claim status denial trends and payor performance to identify areas for improvement.
• Demonstrate excellent guest service to internal team members and patients.
• Perform other related duties as assigned.

Qualifications

• Bachelors degree in healthcare administration business or a related field is required.
• 3 years of experience in revenue cycle management medical billing or a related field.
• Experience with payor-specific policies claims processing and denial management is required.
• Strong knowledge of healthcare billing practices CPT/ICD coding and payor regulations.
• Proficiency in using revenue cycle management software and electronic health record (EHR) systems.
• Excellent analytical problem-solving and organizational skills.

• Strong written and verbal communication skills for effective interaction with internal teams.
• Ability to work independently in a fast-paced cross-functional environment.

Physical Demands

• Sedentary work. Exer ng up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to li carry push pull or otherwise move objects. Repe ve mo on. Substan al movements (mo ons) of the wrists hands and/or fingers. The worker must have close visual acuity to perform an ac vity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to li to 15 lbs. independently not to exceed 50 lbs. without help.

Equal Employment Opportunity

• MPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race color sex (including pregnancy) genetic information sexual orientation religion physical or mental disability age military or veteran status marital status familial status national origin or any other legally protected class.
• Equal opportunity applies to all areas of the employment relationship including hiring promotions training terminations working conditions pay and other terms and conditions of employment.
• Millennium Physician Group (MPG) is committed to the full inclusion of all qualified individuals. In keeping with our commitment MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly if reasonable accommodation is required to fully participate in the job application or interview process to perform the essential functions of the position and/or to receive all other benefits and privileges of employment contact .

Required Experience:

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