CASH MGMT OVERPAYMENT RESOLUTION ANALYST

Moffitt Cancer Center
•$21 - $31

About The Position

The Overpayment Resolution Analyst ensures that payments are properly recorded by analyzing and resolving credit balances, improperly posted payments, contractual adjustments, and system errors in the patient account system. The analyst investigates accounts using system-generated reports, patient receivable balances, insurance allocation notes, explanations of benefits (EOBs), and payer remittance advices to determine whether a refund, adjustment, or balance transfer is needed. The analyst requests cash corrections, adjustments, and balance transfers to ensure account balances are correct. When a refund is still required, the analyst requests it in the account system for management approval. The role also requires maintaining current knowledge of changing payer contracts using the payer matrix from the Managed Care Contracting department.

Requirements

  • High school diploma or GED.
  • At least five years of experience in a healthcare setting, working in revenue cycle; alternatively, an associate degree or associate of science degree plus at least three years of such experience.
  • Strong analytical and critical-thinking skills.
  • Proficiency in Microsoft Excel and Word.
  • Ability to read and understand EOBs.
  • Ability to work independently.

Nice To Haves

  • Experience in accounts receivable, cash posting, or refunds in hospital billing, or experience as an analyst in hospital revenue-cycle billing.
  • Experience with Soarian Financials and Epic Health Systems.
  • Associate degree in healthcare, business, or information technology.

Responsibilities

  • Analyze and resolve credit balances, improperly posted payments, contractual adjustments, and patient account system errors.
  • Investigate accounts using system-generated reports, patient receivable balances, insurance allocation notes, EOBs, and payer remittance advices.
  • Determine whether an account requires a refund, adjustment, or balance transfer.
  • Request cash corrections, adjustments, and balance transfers to ensure account balances are correct.
  • Request refunds in the account system for management approval when required.
  • Maintain current knowledge of payer contracts using the payer matrix from the Managed Care Contracting department.
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