Overprovisions Representative- REMOTE Job at TeamHealth
Job Snapshot
-
Employee Type:
Full-Time -
Location:
Akron, Ohio -
Job Type:
Health Care -
Experience:
Not Specified -
Date Posted:
1/7/2023
Job Description
TeamHealth has ranked three years running as “The World’s Most Admired Companies” by Fortune Magazine and one of America’s 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organization is a physician-led and patient-focused healthcare organization. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.
This is a Fully Remote Position!
- 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)
- Employee Assistance Program
- Referral Program
- Dental plans & Vision plans
- GENEROUS Personal time off
- Eight Paid Holidays per year
- Business casual dress code
- Employee of the month awards with monetary gift and parking space
- Training Programs
- Wellness programs
- Flexible work schedule
JOB DESCRIPTION OVERVIEW:
The Over Provisions Representative is responsible for reviewing all credit balances according to the policies of Team Health. The balances will be reviewed and addressed through reports and the ETM system.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Review and process all Level A refunds per policy
- Review unidentified reports, attempting to locate detail where applicable or return cash as appropriate according to the policies of Team Health
- Communicate with insurance companies via phone or mail if necessary to complete a refund or to obtain retraction details
- File secondary insurance or post denials as appropriate to complete refund request
- Process daily insurance requests for refund or as requested by senior or supervisor
- Complete tasks accurately, maintaining quality standards
- Work Payor Research and Overprovision role within ETM
- Obtain offset information from insurance companies
- Report problems and issues and trends to the department senior or supervisor
- Other duties as assigned by supervisor or senior
Job Requirements
QUALIFICATIONS / EXPERIENCE:
- Accurate 10-key skills
- Detail-oriented
- Effective telephone communication skills
- Knowledge of IDX posting process
- High school diploma or equivalent
- Previous medical billing experience preferred
- Ability to read and understand insurance company explanation of benefits.
SUPERVISORY RESPONSIBILITIES:
- None
PHYSICAL / ENVIRONMENTAL DEMANDS:
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.
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job 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 position.
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