Overpayment Analyst Relevant Educational Qualifications Job2 weeks ago - Other categories - Johnstown - 5 views
LifePoint Health Business Services, located in Johnstown, PA, is a centralized revenue cycle service center supporting multiple hospitals in the LifePoint Health network. Services provided by LifePoint Health Business Services range from hospital billing to claims follow up and customer service.
Position allows for the opportunity for immediate work from home status
Responsible for reviewing, processing and coordinating all credit balance accounts to determine the appropriate action(s) that are necessary for resolution of the credit balance.
Review of all credit balance accounts to determine the reason for the account’s credit balance that include but not limited to coordination of benefits, duplicate payments from the insurance and or patient, incorrect discounts applied to the account or discrepancy in the up-front collection efforts.
Identifies insurance overpayments and after validation, processes the insurance refund in accordance with the facilities requirements
Initiates rebills, request voided or corrected claims as needed or engages other departments in the resolution for instances that require additional research for insurance overpayment resolution
Identifies patient credits and ensures all eligible discounts are calculated appropriately before action to resolve the discrepancy is transacted
Research and resolve all refund requests
Maintains a working knowledge of payor contract requirements in regard to refunds and recoupment
High school diploma or equivalent Required
Two years of college Preferred
Associate’s degree Preferred
Minimum Required Work Experience
One (1) year healthcare revenue cycle
Basic proficiency in Microsoft Office applications
Requires critical thinking skills, problem solving, decisive judgment and ability to work with minimal supervisor. Must be able to work in a stressful environment and take appropriate action.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Each day, LifePoint stands strong behind our commitment to make our communities healthier. We have always known that providing high-quality healthcare depends on our ability to find, keep, and empower creative and determined people who care. This has been a major component of our success in the past –and will be so in the future.