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Overprovisions Rep in Knoxville, TN - Alcoa, TN - Maryville, TN at TeamHealth

Date Posted: 12/4/2018

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

 

SUMMARY

 

This position is responsible for processing credit balances, recoups, adjustments and unidentified payments for Emergency and Clinic groups. Maintains accuracy and production.

  JOB DUTIES

 

  1. Processes guarantor, Medicare, Medicaid, Champus, Federal, and specific other situations for all groups to determine who is to be refunded.
  2. Assembles appropriate documentation to validate refunds and forward to senior for approval.
  3. Handles telephone inquiries regarding overprovisions.
  4. Handles correspondence related to credit balances according to written procedures.
  5. Processes transfer of payment and cancelled check research forms.
  6. Contacts insurance carriers/guarantors as necessary on credit balances, offsets and unidentified payments.
  7. Reports any consistent errors identified that affect accounts from being processed correctly.
  8. Participates in unit progress meetings with Overprovision Supervisor regarding A/R report(s) and month-end reports.
  9. Research unidentified invoices and reports to determine the appropriate application of payments identified.
  10. Turns to Supervisor for unusual circumstances that may include refunds, offsets, unidentified, etc.
  11. Performs all duties as directed by management.

Job Requirements

PHYSICAL ENVIRONMENTAL DEMANDS

 

This job will be performed in a well-lighted and well-vented environment. Work is oriented around good visual skills. Eye fatigue may be encountered as extended amount of time is spent in front of computer display terminal.

 

 

 

                                         JOB QUALIFICATIONS

 

Education equivalent to completion of the 12th grade with one-year experience in a medical billing setting with emphasis on accounts receivable.

 

DISCLAIMER

 

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.