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Overprovision Rep in Sunrise, FL at TeamHealth

Date Posted: 12/3/2018

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

 

POSITION SUMMARY:

 

The Overprovision Representative is responsible for reviewing and processing overprovision invoices; those invoices that result in a Credit Balance. The Overprovisions Representative is responsible to fully understand the billing process and use sound judgment when reviewing invoices to ensure the invoices are processed per Team Health guidelines. Overprovision Representatives are cross-trained in all functions, and priorities are set by the Supervisor and Manager. Overprovision Representatives must be quick learners and flexible in handling multiple simultaneous tasks.

 

 

ESSENTIAL RESPONSIBILITIES:

 

1.       Reviews overprovision accounts weekly via the use of Excel based Spreadsheet Reports, mail correspondence, and interdepartmental inquiries.

2.       Researches overprovision invoices and supporting documentation to determine if a refund is due, if adjustments are necessary, and/or if payment transfers are needed.

3.       Validates the appropriate party to refund and initiates the refund approval process.

4.       Identifies issues causing the overprovisions and reports these issues and/or problem carrier issues to the Senior Representative/Supervisor.

5.       Submits the necessary forms with proper documentation to carriers that require offsets processing.  

6.       Requests refunds from insurance carriers who have been refunded as well as have processed an offset on overpayments.

7.       Follows-up with carriers to ensure refunds, transfers, adjustments, and/or offsets have been resolved. This may include follow-up via phone calls, internet inquiries, and/or written correspondence.

 

OTHER RESPONSIBILITIES:

 

1.     Regular and reliable attendance is necessary.



2.     Overtime as directed by management

3.     Ability to handle multiple tasks, and prioritize.

4.     Accepts other tasks, duties, and responsibilities as assigned.

5.     Completes tasks accurately maintaining quality standards and productivity standards.

6.     Adheres to the HIPAA PHI Guidelines.

7.     Reports to Senior/Supervisor all work completed.

Job Requirements

POSITION REQUIREMENTS:

 

Skills

1.       Excellent written and verbal communication and organizational skills are required

2.       Knowledge of Physician Billing in multiple states a plus.

 

Education

High School Diploma or equivalent.

 

Experience

1.     Three or two years of previous medical billing experience required with emphasis on research and claim processing.

2.     IDX experience a plus.

3.     Proficiency with Microsoft Excel.

 

 

WORKING CONDITIONS:

 

  1. Job performed in a well-lighted, modern office setting.
  2. Prolonged work on a PC/computer.

3.       Physical requirements include but are not limited to walking, lifting (20 lbs.) sitting, bending and standing for extended periods of time.