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Job Requirements of Overprovisions Representative:
QUALIFICATIONS / EXPERIENCE: High School diploma or equivalent
Exceptional organizational skills and a high accuracy performance
Must be able to work independently and in a close team environment
Minimum one year of experience in medical billing, excellent communication skills, and ability to meet deadlines and production goals and good computer skills are required.
PHYSICAL / ENVIRONMENTAL DEMANDS:
Job performed in a well-lighted, modern office setting
Occasional standing/bending
Moderate stress
Prolonged sitting
Prolonged work on a computer
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.
Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.
Do you meet the requirements for this job?
Overprovisions Representative
TeamHealth
Louisville, TN (Hybrid)
Full-Time
JOB DESCRIPTION OVERVIEW:
This position is responsible for processing patient invoices with credit balances, recoups, adjustments and unidentified payments for Hospitalist and Clinic groups. Maintains accuracy and production.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
This position is responsible for processing patient invoices with credit balances, recoups, adjustments and unidentified payments for Hospitalist and Clinic groups. Maintains accuracy and production.
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 for the invoice that has the overpayment.
- Processes invoices in assigned worklist and strives to maintain view age at 30 days or less. This includes reviewing all the previous actions applied to determine how to proceed, entering task note to reflect current action and an outcome to recap the action performed.
- Assembles appropriate documentation to validate refunds and forward to senior for approval.
- Handles telephone inquiries regarding overprovisions.
- Processes 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 error trends identified that affects accounts from being processed correctly.
- Participates in team meetings with Overprovision 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.
- Turns to Senior or Supervisor for unusual circumstances that may include refunds, offsets, unidentified, etc.
- Performs any duties as directed by Management.
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
High School diploma or equivalent
Exceptional organizational skills and a high accuracy performance
Must be able to work independently and in a close team environment
Minimum one year of experience in medical billing, excellent communication skills, and ability to meet deadlines and production goals and good computer skills are required.
PHYSICAL / ENVIRONMENTAL DEMANDS:
Job performed in a well-lighted, modern office setting
Occasional standing/bending
Moderate stress
Prolonged sitting
Prolonged work on a computer
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.
Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.
High School diploma or equivalent
Exceptional organizational skills and a high accuracy performance
Must be able to work independently and in a close team environment
Minimum one year of experience in medical billing, excellent communication skills, and ability to meet deadlines and production goals and good computer skills are required.
PHYSICAL / ENVIRONMENTAL DEMANDS:
Job performed in a well-lighted, modern office setting
Occasional standing/bending
Moderate stress
Prolonged sitting
Prolonged work on a computer
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.
Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.
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