Overpayment Specialist 2
About The Position
The Overpayment Specialist 2 is responsible for the timely and accurate resolution of patient and insurance credit balances by researching overpayments, validating refund eligibility, and processing refunds in accordance with payer contracts, federal and state regulations, and organizational policies. The Credit Specialist ensures compliance with refund requirements while maintaining accurate account documentation, collaborating with internal departments, and resolving credit balance discrepancies. This position takes ownership of identifying, researching, and resolving credit balances to minimize financial risk and ensure regulatory compliance. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Requirements
- High School or GED
- 2 years of experience
Nice To Haves
- Experience accurately posting payments, adjustments, and denials in EPIC from electronic and manual remittance advices (ERAs/EOBs).
- Strong ability to review and research remittance advices to ensure proper payment application and resolve discrepancies.
- Proficiency in investigating and resolving unapplied or misapplied cash deposits in a timely manner.
- Experience reconciling daily deposits with bank statements and EPIC postings to ensure financial accuracy.
- Familiarity with month-end and year-end reconciliation processes.
- Ability to identify and escalate payment issues, trends, or system errors to management.
Responsibilities
- Reviews patient and insurance accounts with credit balances to identify the cause of overpayments and determine the appropriate resolution, including refunds, adjustments, or transfers.
- Processes patient and insurance refund requests accurately and within established turnaround times while ensuring compliance with organizational policies, payer guidelines, and applicable federal and state regulations.
- Researches payment discrepancies, duplicate payments, coordination of benefits issues, and billing errors to ensure proper disposition of account credits.
- Verifies refund eligibility by reviewing payment history, explanation of benefits (EOBs), contractual obligations, and account documentation.
- Coordinates with Patient Financial Services, Revenue Cycle, Patient Access, Billing, Coding, Compliance, and insurance carriers to resolve outstanding credit balances and refund inquiries.
Benefits
- medical coverage
- dental coverage
- vision coverage
- a robust team member wellness program
- Inova matches the first 5% of eligible contributions
- up to $5,250 per year in education assistance
- up to $10,000 for student loans
- 25 mental health coaching or therapy sessions, per person, per year, at no cost
- paid time off
- paid parental leave
- flexible work schedules
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
