Overpayment Representative (Remote after Training)

TeamHealth • Full-time • Remote (Louisville, TN, US) • 3d ago

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 reviewing/processing reports and correspondence in ETM 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

Job Requirements:

QUALIFICATIONS / EXPERIENCE:

Previous medical billing experience
Excellent communication skills oral and written
Demonstrated proficiency in Microsoft Office
Must be able to multi-task
Must possess excellent communication skills (oral and written), organization/planning skills and follow-up
Must demonstrate attention to detail
Accurate 10-key by touch; 40-45 WPM
Ability to work in fast paced environment
Ability to meet deadlines

https://www.teamhealth.com/california-applicant-privacy-notice/

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Job Snapshot

Employee Type

Full-Time

Location

Louisville, TN (Remote)

Job Type

Health Care, Insurance

Experience

Not Specified

Date Posted

11/16/2024

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