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.
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Job Type
Full-time
Education Level
High school or GED