Overpayment Analyst (remote) in Johnstown, PA at Health Support Center
Posted on: 27 Feb 2021
Johnstown, PA
Job Description
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 accounts 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
Associates 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.
LifePoint Health, Inc.
Brentwood, TN
Across our network and at our Health Support Center, we are united by a shared mission and vision, core values and guiding principles that drive everything we do and inform our approach to patient care, quality and how we do busine. We know that to achieve our vision of creating places where people choose to come for healthcare, physicians want to practice and employees want to work, we must organize around the right strategies. At LifePoint, our strategies are simple and enduring.
Our Operating Groups
LifePoint's facilities and practices are divided into four operating divisions: Eastern, Central, Mountain and Western. Each of these divisions has a leadership team that mirrors a hospital's leadership team, including a president and dedicated physician and provider leadership resources.
Our Health Support Center
Our Health Support Center (HSC), in Brentwood, Tennessee, has subject matter expertise in every area of healthcare operations and provider services. The HSC is organized to bring resources to bear across the continuum of care, from before a patient accesses healthcare services to after they are sent home, while keeping quality and compliance at the center.
On a daily basis, our group leaders and subject matter experts are working with our local markets to help develop and implement the right strategies that ensure healthcare thrives in their communities.
Our Physicians
Physicians are a critical access point to care in our communities. We work to build and maintain collaborative relationships with both our employed physicians and a broad network of affiliated providers, and we provide a full spectrum of practice management and physician support to help secure the delivery of quality care today and for the future.
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IndustryHealthcare
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No. of Employees60,000+
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Website
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Jobs Posted13300
