OVERPROVISIONS REPRESENTATIVE Position Available In Blount, Tennessee

OVERPROVISIONS REPRESENTATIVE

TeamHealth Alcoa, TN (Onsite) Full-Time Job Details

JOB DESCRIPTION OVERVIEW

This position is responsible for reviewing/processing GE reports and correspondence in ETM system related to credit balances, refund requests, recoups, payment research, and unidentified payments for Emergency service business line. As well as handling some customer service calls from insurancepanies, patients and working with Fifth Third Bank. Maintains accuracy and production. The responsibilities of the position include, but are not limited to the following:

ESSENTIAL DUTIES AND RESPONSIBILITIES

Processes guarantor, Medicare, Medicaid, Champus, Federal, and specific other situations for all groups to determine who is to be refunded.
Assembles appropriate documentation to validate refunds and forward to senior for approval.
Handles customer service calls that are transferred from NPSC or Patient Services.
Contacts insurance carriers/guarantors via phone call as necessary on credit balances, offsets, payment research invoices, mail correspondence, unidentified payments, and other reasons as needed.
Handles correspondence related to credit balances according to written prores.
Processes transfer of payment.
Researches cancelled checks to determine if a check has been endorsed and cashed but not posted to the patient’s account.
Retrieves and processes NSF checks from the bank’s secured website.
Reports any consistent errors identified that affect accounts from being processed correctly.
Maintains knowledge of ETM system.
Processes special projects as assigned by Management.
Turns to supervisor or senior for unusual circumstances that may include refunds, offsets, unidentified, etc.
Participates in department meetings.
Other duties as assigned by Senior Representative, Overprovisions Supervisor and Patient Accounts Manager.

Job Requirements:

QUALIFICATIONS / EXPERIENCE

High school diploma or equivalent required;
6 months previous medical billing experience preferred;
Excellentmunication skills both oral and written;
Proficiency in basicputer operations;
Must have ability to multi-task;
Excellentanizational skills including but not limited to generalanizing, planning and time management;
Excellent follow-up skills;
Must demonstrate attention to detail;
Accurate 10-key by touch;
40-45 WPM;
Saving and printing Excel spreadsheets;
Basic knowledge of operating office machinery;
Detail-oriented;
Effective telephonemunication skills;
Ability to work in fast paced environment;
Ability to meet deadlines.

SUPERVISORY RESPONSIBILITIES

None

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 ofputer display terminal. This position may require manual dexterity and/or frequent use of theputer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards toply with the essential functions.
Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular scle and/or more than five days per week.
Overtime may be required and can be mandated by Management. Employee Type
Full-Time
Location
Alcoa, TN (Onsite)
Job Type Experience
Not Specified
Date Posted
05/11/2025