Are you passionate about helping orthopaedic patients? Do you want to be part of the largest orthopaedic provider in Eastern Tennessee? Join the team at KOC in our Revenue Cycle Department, where we provide personalized care in a collaborative and supportive environment. We are currently seeking a full-time Overpayment Resolution Coordinator who is committed to providing superior service and eager to grow within a highly respected orthopaedic practice. At Knoxville Orthopaedic Clinic, our purpose is to improve lives through patient-centered care — every patient, every time. And we've been doing just that since our founding in 1930.

Key Responsibilities:

Follow the OrthoTennessee Playbook. Address daily credit balance tasks in the PM software. Review monthly A/R reports and follow up on patient or payer credit balances. Prepare refund requests as assigned. Collaborate with Front Desk staff to ensure accurate billing information and copay/coinsurance collection procedures. Communicate refund needs to the Payment Posting Department with appropriate documentation. Research recouped and reapplied payments. Adhere to federal and state guidelines and timelines for refund processing. Confirm patient credit balances resulting from overpayments, transferring credits appropriately or initiating refunds in NextGen. Research government, commercial, and workers' comp payer credit balances to ensure payment postings and adjustments are accurate and not duplicated. Utilize payer-specific software, spreadsheets, or forms to notify payers of overpayments and facilitate recovery processes. When payer systems are not available, prepare refund requests with appropriate documentation for review by the Contract Appeals Analyst. Cross-train in other departmental job functions as needed. Assist with training new departmental personnel. Perform other duties as assigned.

Required Qualifications and Skills:

High school diploma or equivalent. Minimum of 1 year of experience in a medical billing office or similar detail-oriented environment. Experience reviewing patient accounts and balances. Knowledge of medical billing and claims processing; orthopaedics experience preferred. Knowledge of billing guidelines for government and commercial insurance plans. Ability to read and interpret remittance advice (EOBs) to identify payer errors. Proficiency with Practice Management software. Knowledge of HIPAA regulations and ability to maintain strict confidentiality. Strong organizational skills and attention to detail. Excellent communication and interpersonal skills with patients, staff, and external stakeholders. Sensitivity to patient needs, particularly in financial discussions. Commitment to professional conduct, attendance, punctuality, and personal appearance. Customer service orientation with strong problem-solving skills.

Preferred Qualifications and Skills:

Prior experience with refund and overpayment processes. Experience with payer-specific software or recovery systems

Why Join KOC:

Full-time and part-time schedule with flexibility Training and mentorship in orthopaedics Strong collaboration with referring orthopaedic surgeons Modern, well-equipped facilities in a trusted clinical setting Purpose-driven culture focused on delivering great outcomes and improving lives We offer competitive pay and an excellent benefits package, including: Low-cost high-quality medical, dental, and vision coverage 401(k) with profit sharing Life insurance and long-term disability Generous paid time off (PTO) UKG Wallet Partner - On Demand Pay Employee discounts and much more Knoxville Orthopaedic Clinic was proudly recognized as a Top Workplace for 2025! Apply today to become part of a team making a difference in orthopaedic care — every patient, every time.