Patient Accounts, Overpayment Resolution Specialist - Stillwater Medical

Our Central Billing Office is looking for a new team member!The overpayment resolution specialist analyzes patient accounts that reflect a credit balance and accurately resolves the credit balance by either remedying overadjustments due to remittance posting errors; or determining which health plan or third party or patient overpaid; or both. Candidates must have government and commercial billing/follow up experience and possess an abundance of critical thinking skills.Key attributes we need in this role:

• Positive attitude - always willing to lend a hand when needed
• Flexible team player who is committed and accountable
• An abundance of critical thinking skills!

Why choose Stillwater Medical?

• Excellent benefits
• Career ladder for growth and development
• Modern Healthcare's Best Places to Work - since 2010

Details:

• Weekdays 8:00am-5:00pm
• Full-time, 40 hours per week
• Applicants could be hired as a Representative. Will consider hiring with Specialist title for applicants with 2+ years of direct experience in medical/hospital billing.
• Position could transition to remote after 30 days on site. In-person orientation and onboarding required.

Job SUMMARY:

Responsible for accurate and timely posting, billing or account resolution as assigned to contribute to the success of the CBO team objectives. Analyzes and takes appropriate action steps according to SMC protocols. Responds appropriately to patient and other customer inquiries. Achieves required payer knowledge and coordinates appropriately with hospital departments, clinics or patients to resolve coverage issues. Strives to achieve targeted benchmarks and exceed collection goals for prompt account resolution. Communicates timely and appropriately with CBO leadership team to identify and resolve payer/claim submission issues. Performs assigned duties independently with guidance from manager or team leader. QUALIFICATIONS:

• • High School Graduate or equivalent and some college preferred
  • Experience working in medical office and/or hospital billing environment required (prefer more than 2 years)
  • Ability to perform basic mathematical tasks
  • Knowledge of insurance claims processing and managed care plan benefits
  • Understands the purpose of CPT, HCPCS, ICD-10 and Revenue Codes
  • Knowledge of UB-04 and/or CMS 1500 claims and electronic claims submission
  • Demonstrates effective analytical, oral and written communication skill
  • Knowledge of basic medical terminology
  • Understand the ethics of confidentiality and healthcare compliance
  • Average computer and data entry skills as required in the healthcare industry
  • Ability to use Microsoft Office applications effectively (i.e. Excel, MSWord, Outlook)
  • Strong organizational skills and the ability to manage multiple assignments daily

PHYSICAL REQUIREMENTS:

• • Able to sit and maintain work focus for extended periods of time
  • Able to stand and walk for extended periods of time to meet necessary meeting, training and work schedules
  • Able to speak clearly and distinctly with staff, physicians, patients, and families.
  • Able to hear to converse with others on the phone
  • Demonstrates the ability to make decisions and accomplish tasks in a high work volume environment to meet the necessary goals and deadlines
  • Demonstrates adequate vision to read and prepare documents accurately
  • Possess motor skills and coordination to effectively use computers and office equipment

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