Overpayment Representative

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. Newsweek Magazine recognizes TeamHealth ‘as one of the greatest workplaces for diversity and one of the greatest workplaces for women; 2024-2025’. Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the country from our Clinicians to Corporate Employees. Join us!

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 Overpayment Representative is responsible for reviewing/processing reports and correspondence in the (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
• 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.

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