Overpayment Representative (REMOTE)

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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

This is a REMOTE opportunity supporting our Akron, OH Billing Center. Candidates must be located in EST.

JOB DESCRIPTION OVERVIEW:

This position is responsible for reviewing/processing reports and correspondence in (ETM) Enterprise Task Management system related to credit balances, refund requests, recoups, payment research, and unidentified payments for emergency services business line.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Processes guarantor, Medicare, Medicaid, Champus, Federal, and other situations for all groups to determine refund status
• Assembles appropriate documentation to validate refunds and forward to senior for approval
• Answers customer service calls
• Contacts insurance carriers/guarantors as necessary on credit balances, offsets, payment research invoices, mail correspondence, unidentified payments, and other reasons as needed
• Handles correspondence related to credit balances according to current policy and procedures
• Processes transfer of payment
• Researches cancelled checks to determine if a check has been endorsed and cashed but not posted to the patient's account
• Retrieves and processes NSF checks from the appropriate secured website
• Reports consistent errors identified that affect accounts from being processed correctly
• Maintains knowledge of ETM system
• Consults senior/supervisor for unusual circumstances that may include refunds, offsets, unidentified, etc.
• Performs other duties as assigned by Senior Representative, Overprovisions Supervisor and Patient Accounts Manager

QUALIFICATIONS / EXPERIENCE:

• Knowledge of IDX posting process
• High school diploma or equivalent
• Previous medical billing experience preferred; knowledge of payment refunds
• Ability to read and understand insurance company explanation of benefits
• Accurate 10-key skills
• Detail-oriented
• Effective telephone communication skills

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