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Overpayment Analyst (remote)

Job Description

LifePoint Health- Health Support Center

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.

*Immediate work from home opportunity

Job Summary

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

Job Requirements

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.


LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.

Job Snapshot

Location US-PA-Johnstown
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Health Care
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Company Overview

Health Support Center

LifePoint Health was founded in 1999 on the idea that everyone deserves quality healthcare close to home and that strong healthcare creates strong communities. We began with a network of 23 hospitals in non-urban markets across the nation united by a singular mission: Making Communities Healthier. We are a financially strong company with significant healthcare operations expertise. We recognize that every community has unique healthcare needs, and for more than 17 years, we have worked to ensure the highest standards of quality care and excellent service to patients at each of our locations by understanding and responding to these needs. LifePoint has a track record of investing in state-of-the-art technology, facility improvements, physician recruitment and staff development. We give each of the facilities and providers within our network the resources they need to deliver high quality care and services to their communities and succeed in today’s healthcare marketplace. Learn More

Contact Information

US-PA-Johnstown
Snapshot
Health Support Center
Company:
US-PA-Johnstown
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Health Care
Store Type:

Job Description

LifePoint Health- Health Support Center

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.

*Immediate work from home opportunity

Job Summary

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

Job Requirements

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.


LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.
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Overpayment Analyst (remote) Apply now