TeamHealth is named among the Top 150 Places to Work in Healthcare by Becker's Hospital Review. Newsweek Magazine recognizes TeamHealth as ‘one of the greatest workplaces for diversity, 2024’ and TeamHealth is also ranked as ‘The World’s Most Admired Companies’ by Fortune Magazine. TeamHealth, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us.
What we Offer:Career Growth Opportunities
Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
401K (Discretionary matching funds available)
Generous PTO
8 Paid Holidays
Equipment Provided for Remote Roles
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.
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.
WORKING CONDITIONS:
- This job will be performed in a well-lighted and well-vented environment. Requires constant sitting tolerance. Involves extensive computer use.
- Set in a pleasant, high-volume, fast-paced office environment.
- Overtime may be required and can be mandated by Management.
DISCLAIMER:
The above information on this 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 job.
https://www.teamhealth.com/california-applicant-privacy-notice/
