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Job Requirements of Overprovisions Representative:
QUALIFICATIONS / EXPERIENCE:• Minimum high school diploma or equivalent
• Minimum one year experience in medical billing.
• Demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
• Ability to work well under pressure and be flexible in a fast-paced environment.
• Excellent written and verbal communication and interpersonal skills.
• Ability to multi-task, set priorities, and follow through without direct supervision.
• Knowledge of Microsoft Excel, Microsoft Outlook, Microsoft Word, and Zoom.
• Excellent organizational skills while maintaining accuracy and production.
PHYSICAL / ENVIRONMENTAL DEMANDS:
• May require the manual dexterity and/or frequent use of the computer, 10-key, calculator, and/or the ability to perform repetitive motions to comply with the essential functions.
• Requires the ability to conform to standards for attendance.
• Prolonged work on a PC/computer and telephone.
• Prolonged sitting at a desk.
• May be required to participate in meetings where Zoom audio and video is required.
• Overtime may be required.
Do you meet the requirements for this job?
Overprovisions Representative
TeamHealth
Canoga Park, CA (Onsite)
Full-Time
TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025 –Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!
What we Offer
What we Offer
- Career Growth Opportunities
- A Culture anchored in a strong sense of belonging
- Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
- 401k (Discretionary match)
- Generous PTO
- 8 Paid Holidays
- Equipment Provided for Remote Roles
JOB DESCRIPTION OVERVIEW:
The Overprovisions Representative is responsible for processing credit balances, recoups, adjustments, and unidentified payments for Hospitalist and Clinic groups. The Overprovisions Representative carries out his/her duties by adhering to the highest standards of ethical and moral conduct in the best interest of TeamHealth.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Review guarantor, government payers, and commercial insurance overpayments for all groups to determine who is to be refunded.
- Create a manual task in ETM for the invoice that has the overpayment.
- Responsible to follow-up on outstanding manual tasks to resolution.
- Assembles appropriate documentation to validate refunds and forward to senior for approval.
- Handles telephone inquiries regarding overprovisions.
- Handles correspondence related to credit balances according to written procedures.
- Processes transfer of payment and cancelled check research forms.
- Contacts insurance carriers/guarantors as necessary on credit balances, offsets, and unidentified payments.
- Reports any consistent errors identified that affect accounts from being processed correctly.
- Participates in team meetings with Overprovisions Supervisor regarding ETM PIT report, weekly credit report, and the Government Overprovisions 120+ report.
- Research unidentified invoices and reports to determine the appropriate application of payments identified.
- Reports to Supervisor any questions and/or trends identified that may relate to refunds, offsets, unidentified, etc.
- Performs any and all duties as directed by Senior Representative, Supervisor, and/or Manager.
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
• Minimum high school diploma or equivalent
• Minimum one year experience in medical billing.
• Demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
• Ability to work well under pressure and be flexible in a fast-paced environment.
• Excellent written and verbal communication and interpersonal skills.
• Ability to multi-task, set priorities, and follow through without direct supervision.
• Knowledge of Microsoft Excel, Microsoft Outlook, Microsoft Word, and Zoom.
• Excellent organizational skills while maintaining accuracy and production.
PHYSICAL / ENVIRONMENTAL DEMANDS:
• May require the manual dexterity and/or frequent use of the computer, 10-key, calculator, and/or the ability to perform repetitive motions to comply with the essential functions.
• Requires the ability to conform to standards for attendance.
• Prolonged work on a PC/computer and telephone.
• Prolonged sitting at a desk.
• May be required to participate in meetings where Zoom audio and video is required.
• Overtime may be required.
• Minimum high school diploma or equivalent
• Minimum one year experience in medical billing.
• Demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
• Ability to work well under pressure and be flexible in a fast-paced environment.
• Excellent written and verbal communication and interpersonal skills.
• Ability to multi-task, set priorities, and follow through without direct supervision.
• Knowledge of Microsoft Excel, Microsoft Outlook, Microsoft Word, and Zoom.
• Excellent organizational skills while maintaining accuracy and production.
PHYSICAL / ENVIRONMENTAL DEMANDS:
• May require the manual dexterity and/or frequent use of the computer, 10-key, calculator, and/or the ability to perform repetitive motions to comply with the essential functions.
• Requires the ability to conform to standards for attendance.
• Prolonged work on a PC/computer and telephone.
• Prolonged sitting at a desk.
• May be required to participate in meetings where Zoom audio and video is required.
• Overtime may be required.
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