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Job Details

Overpayment Resolution Team Lead- Work from Home

Company name
Parallon Business Solutions

Location
Norcross, GA

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Job Description
DUTIES INCLUDE BUT ARE NOT LIMITED TO: Provides introductory and ongoing training and education to staff to ensure that policies and procedures are followed • Meets with the Manager regularly to effectively communicate and resolve overpayment issues, set and prioritize goals and improve processes • Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards, including performing QA for staff. • Maintain established departmental policies and procedures, objectives, patient, and customer service policies • Assist manager with development and implementation of department and project action plans • Perform validation of discrepancy reason codes assigned by Discrepancy Analyst • Initiate refunds of identified overpayments and clears discrepancies from the log • Monitor take-backs and initiate refunds as appropriate. • Meet the productivity and quality standards of the organization • Complete and comprehend all education requirements • Attend Conference calls with Payers for any issues, payer spreadsheets. • Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement” • Other duties as assigned  

Job Requirements
EDUCATIONHigh school diploma or GED required EXPERIENCEAt least one year of related experience requiredPrior supervisory experience preferredManaged care logging experience preferredCredit balance refundsUnderpayments experienceKnowledge of insurance contractsStrong medical insurance experience 

Company info

Parallon Business Solutions
Website : http://parallon.com

Company Profile
Parallon’s roots are in the hallways of some of America’s top-performing hospitals and our commitment is to bring the expertise we have gained as operators to help you drive results. Parallon is dedicated to helping hospitals and health systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future.

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