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Overprovisions Representative- Remote in West Hills at TeamHealth

Date Posted: 2/5/2024

Job Snapshot

Job Description

TeamHealth has ranked three years running as “The World’s Most Admired Companies” by Fortune Magazine and one of America’s 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organization 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.

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.

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