Virtual Overpayment Team Lead in Nashville, TN at Parallon

Date Posted: 5/17/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Nashville, TN
  • Job Type:
    Management
  • Experience:
    At least 1 year(s)
  • Date Posted:
    5/17/2018

Job Description



Job Summary – The Overpayment Resolution Team Lead is responsible for assisting the Overpayment Resolution Manager with training of the Overpayment Resolution department. Also, performs daily discrepancy account resolution and coding.

Supervisor – Overpayment Resolution Manager

Supervises – not applicable

Duties (included but 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

EDUCATION

High School diploma or GED required.

EXPERIENCE

At least one year of related experience required.