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Overpayment Analyst Relevant Educational Qualifications Job

2 months ago Other categories Johnstown   52 views
Job Details

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

Minimum Education
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

Required Skills
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

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Company Description
Success within a company doesn’t just happen. It requires committed teams of talented people who understand and embrace an organization’s goals and work together at the highest level to achieve them.
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.