Overpayment Representative In Remote (Onsite) At Teamhealth

Job Description

TeamHealth is named among the “150 Great Places to Work in Healthcare” by Becker’s Hospital Review and has ranked three years running as “The World’s Most Admired Companies” by FORTUNE Magazine as well as one of America’s 100 Must Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organizations is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.

• Career Growth Opportunities
• Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
• 401K program (Discretionary matching funds available)
• GENEROUS Personal time off
• Eight Paid Holidays per year
• Quarterly incentive plans

JOB DESCRIPTION OVERVIEW:

This position is responsible for processing patient invoices with credit balances, recoups, adjustments and unidentified payments for Hospitalist and Clinic groups while maintaining accuracy and production.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Review guarantor, government payers, and commercial insurance overpayments for all groups to determine who is to be refunded
• Processes correspondence related to credit balances and processes transfer of payment and cancelled check research forms
• Processes invoices in assigned worklist and strives to maintain view age at 30 days or less. This includes reviewing all the previous actions applied to determine how to proceed, entering task note to reflect current action and an outcome to recap the action performed
• Assembles appropriate documentation to validate refunds
• Contacts insurance carriers/guarantors as necessary on credit balances, offsets, and unidentified payments
• Reports any error trends identified that affects accounts from being processed correctly
• Research unidentified invoices and reports to determine the appropriate application of payments identified

Job Requirements

QUALIFICATIONS / EXPERIENCE:

• High School diploma or equivalent
• Exceptional organizational skills and a high accuracy performance
• Must be able to work independently and in a close team environment
• Minimum one year of experience in medical billing, excellent communication skills, and ability to meet deadlines and production goals and good computer skills are required