Job Summary:
The Overpayment Analyst is responsible forresearching and resolving
overpayment discrepancies, credit balances, returned hospital refund checks and handling patient concerns as needed.
Responsibilities:
- Perform and validate discrepancy reason coding
- Initiate refunds of identified overpayments and resolve open discrepancies
- Monitor take-backs and initiate refunds as appropriate.
- Review and resolve credit balances
- Accept phone calls and resolve patient concerns related to account balances
- Research returned refund checks and take the necessary action to resolve.
- Identify problem accounts/processes/trends and escalate as appropriate
- Utilize effective documentation standards that support a strong historical
record of actionstaken on the account.
- Ability to perform basic math to ensure accurate statement of accounts
receivable.
- Meet the productivity and quality standards of the organization
- Timely completion and comprehension of all educational requirements
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
- Other duties as assigned
Skills and Experience:
- English – Spanish Language (Oral and writing 85% or higher), (B2+ or above).
- Must have a high school diploma.
- 0 to 1 year of experience in Customer Service or Backoffice positions.
- The resource will adjust its local schedule with the resources supporting this position during Daylight Savings time changes in the Eastern Time Zone.
- A genuine interest in working with and helping customers.
- Must possess excellent communication skills and involvement.
- Demonstrated experience in providing high levels of customer satisfaction and performance in a high transaction volume/high demand environment preferred.
- Good presentation and a polite, tactful, and friendly character.
- Healthcare experience is a plus.