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Job Requirements of Sr. Overprovisions Representative:
QUALIFICATIONS / EXPERIENCE:
- Education equivalent to the completion of the 12th grade with one year experience in a medical billing setting with primary emphasis on payment posting
- High School diploma or equivalent; some college preferred
- Excellent computer skills, including advanced level knowledge of Microsoft Office Suite (Word, Excel, Outlook, etc.)
- Exceptional organizational skills and a high accuracy performance
- Professional interpersonal demeanor with proven oral and written communication skills
- Must be able to work independently and in a close team environment
- Ability to prioritize and meet deadlines
- Demonstrated experience requiring sound judgment and leadership skills
- Basic knowledge of GE/IDX required
PHYSICAL / ENVIRONMENTAL DEMANDS:
- Job performed in a well-lighted, modern office setting
- Occasional standing/bending
- Moderate stress
- Prolonged sitting
- Prolonged work on a PC/computer
- Prolonged telephone work
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.
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Sr. Overprovisions Representative
TeamHealth is named among the “150 Great Places to Work in Healthcare” by Becker’s Hospital Review and has ranked three years running as “The World’s Most Admired Companies” by FORTUNE Magazine as well as one of America’s 100 Must Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organizations is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.
- Career Growth Opportunities
- Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
- 401K program (Discretionary matching funds available)
- GENEROUS Personal time off
- Eight Paid Holidays per year
- Quarterly incentive plans
JOB DESCRIPTION OVERVIEW:
The Sr. Overprovisions Representative is responsible for maintaining accuracy and production for the department, overseeing daily functions of employees and training of department staff. The senior provides leadership and guidance to the Representatives in the Overprovisions department. The department’s goal is to examine and apply the necessary action to have all overpayments completed within HCFS guidelines.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Processes all refunds up to $2,000.00
- Provides training to new staff, as well as, in service training of established staff
- Performs quality audits on all Overprovisions staff members regardless of established or new hires
- Participates in departmental meetings
- Participate in meeting with Overprovisions Supervisor for production goals and progress updates
- Report any errors or problems identified that affect accounts from being processed correctly
- Review any unusual circumstances that may include offsets, unidentified payments, refunds, etc. with Supervisor
- Communicates with various members of the Patient Accounts, Patient Services or AR Management team
- Reviews ETM PIT reports daily to provide guidance to employees on how to effectively organize and process worklist
- Responsible for maintaining policy and procedures
- Performs any and/or all duties as directed as requested
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
- Education equivalent to the completion of the 12th grade with one year experience in a medical billing setting with primary emphasis on payment posting
- High School diploma or equivalent; some college preferred
- Excellent computer skills, including advanced level knowledge of Microsoft Office Suite (Word, Excel, Outlook, etc.)
- Exceptional organizational skills and a high accuracy performance
- Professional interpersonal demeanor with proven oral and written communication skills
- Must be able to work independently and in a close team environment
- Ability to prioritize and meet deadlines
- Demonstrated experience requiring sound judgment and leadership skills
- Basic knowledge of GE/IDX required
PHYSICAL / ENVIRONMENTAL DEMANDS:
- Job performed in a well-lighted, modern office setting
- Occasional standing/bending
- Moderate stress
- Prolonged sitting
- Prolonged work on a PC/computer
- Prolonged telephone work
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.