Overprovisions Representative

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

• 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:
This position is responsible for reviewing/processing GE reports and correspondence in ETM system related to credit balances, refund requests, recoups, payment research, and unidentified payments for Emergency service business line. As well as handling some customer service calls from insurance companies, patients and working with Fifth Third Bank. Maintains accuracy and production. The responsibilities of the position include, but are not limited to the following:

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Processes guarantor, Medicare, Medicaid, Champus, Federal, and specific other situations for all groups to determine who is to be refunded.
• Assembles appropriate documentation to validate refunds and forward to senior for approval.
• Handles customer service calls that are transferred from NPSC or Patient Services.
• Contacts insurance carriers/guarantors via phone call 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 written 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 bank’s secured website.
• Reports any consistent errors identified that affect accounts from being processed correctly.
• Maintains knowledge of ETM system.
• Processes special projects as assigned by Management.
• Turns to supervisor or senior for unusual circumstances that may include refunds, offsets, unidentified, etc.
• Participates in department meetings.
• Other duties as assigned by Senior Representative, Overprovisions Supervisor and Patient Accounts Manager.

Job Requirements: