Overpayment Recovery Specialist

4 weeks ago

San Antonio, Texas, United States South Texas Radiology Group Full time
Job Title:
Overpayment Recovery Specialist

Department:
Credit Balance

Location:
San Antonio, Texas (on site)

Reports To:
Senior Manager, Patient Account Services

FLSA Status:
Non-exempt

Summary of Position:
The Overpayment Recovery Specialist is responsible for managing overpayment requests and recoupment processes within the Radiology billing department. This role involves utilizing specific portals to handle documentation for overpayment claims, ensuring timely responses, and verifying that adjustments are posted correctly according to fee schedules. The specialist must have a thorough understanding of bundling, MPPR (Multiple Procedure Payment Reduction) adjustments, multiple surgical adjustments, and relevant fee schedules. The position requires close coordination with various departments to address and resolve overpayment issues efficiently.

Job Responsibilities:

  • Manage and process overpayment requests through specific insurance company portals.
  • Ensure all overpayment claims are handled in a timely and accurate manner.
  • Monitor and track overpayment cases to ensure proper documentation and resolution.
  • Handle and review documentation for overpayment claims, ensuring completeness and accuracy.
  • Prepare and provide required supporting documents such as medical reports and coordination of benefits.
  • Maintain organized records of all overpayment transactions and communications.
  • Respond to overpayment requests and related inquiries promptly.
  • Ensure that all necessary information is provided within the required timeframe to facilitate claim resolution.
  • Familiarize with and apply knowledge of bundling, MPPR adjustments, and multiple surgical adjustments.
  • Review recoupments automatically offset from payments by insurance companies to ensure no prior documentation is missing.
  • Determine the appropriate department for processing each recoupment case.
  • Verify that adjustments are posted correctly according to the appropriate fee schedules within our Billing System.
  • Ensure that all billing adjustments comply with current fee schedule guidelines.
  • Coordinate with various internal departments to manage and resolve overpayment and recoupment issues.
  • Communicate effectively with insurance companies to resolve discrepancies and obtain necessary information.
  • Identify opportunities for process improvements to enhance the efficiency and accuracy of overpayment management.
  • Provide input on improving policies and procedures related to overpayment and recoupment handling.
  • Generate reports on overpayment and recoupment activities, summarizing key metrics and trends.
  • Report on the status of overpayment resolutions and any issues encountered during the process.
  • Outbound calls to patients to resolve any requests or issues
  • Assist as a backup for Cashier as needed
  • Required to meet departmental quality and production standards
  • Contribute to the team culture in a positive manner
  • Perform other duties as required

Supervisory Responsibilities:
None

Experience / Skill Requirements:

  • Exceptional written and verbal communication skills
  • Organizational skills, able to prioritize
  • Minimum of 6 months of experience in medical billing, specifically in handling overpayments and recoupments.
  • Computer skills to include Google Suite or similar software
  • Type at least 30 wpm and proficient in 10-key by touch
  • Ability to read and understand explanation of benefits (EOBs)
  • Provide quality customer service - problem solving and decision making
  • Must be able to multitask and be a team player
  • Maintain confidentiality at all times
  • Perform other duties as required

Education:
High School Diploma or GED
Associates degree preferred

Attendance / Work Schedule:

Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime.

Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include light duty work or allow unpredictable or unrestricted absences.

  • Overpayment Recovery Specialist

    4 weeks ago

    San Antonio, Texas, United States South Texas Radiology Group Full time

    Job Title:Overpayment Recovery SpecialistJob Summary:The Overpayment Recovery Specialist plays a crucial role in managing overpayment requests and recoupment processes within the Radiology billing department. This position requires a high level of attention to detail, organizational skills, and effective communication with various departments to address and...

  • Recovery Support Specialist

    4 weeks ago

    San Antonio, Texas, United States BayMark Health Services Full time

    Job Summary:Our Recovery Support Staff team works hands-on with clients on a non-clinical basis throughout the duration of the clients stay. The Recovery Support Specialist is tasked with 24-hour direct supervision of clients, holding each client personally accountable through the enforcement of policy and procedure. The Recovery Support Specialist serves...

  • Debt Recovery Specialist

    4 weeks ago

    San Antonio, Texas, United States Insight Global Full time

    Job DescriptionA leading financial services company in San Antonio, TX is seeking a skilled Debt Recovery Specialist to join their team.This role is responsible for collecting funds from delinquent accounts, providing solutions to improve financial security, and negotiating debt recovery.Key Responsibilities:Conduct inbound and outbound calls to negotiate...

  • Debt Recovery Specialist

    4 weeks ago

    San Antonio, Texas, United States Auto Solution Full time

    Auto Solution is seeking a highly skilled Debt Recovery Specialist to join our team. The ideal candidate will have prior experience in debt collection, exceptional organizational and communication skills, and the ability to analyze accounts and plan courses of action to recover outstanding debt.Key Responsibilities:Manage customer accounts to ensure timely...

  • Recovery Support Specialist

    4 weeks ago

    San Antonio, Texas, United States BayMark Health Services Full time

    Job Summary:As a Recovery Support Specialist at BayMark Health Services, you will play a vital role in helping individuals achieve lasting sobriety through comprehensive care and compassionate support. You will work hands-on with clients on a non-clinical basis, providing direct supervision, enforcing policies and procedures, and offering growth...

  • Child and Adolescent Psychiatry Physician

    4 weeks ago

    San Antonio, Texas, United States Eating Recovery Center Full time

    About UsEating Recovery Center is a leading provider of comprehensive treatment for eating disorders, mood, anxiety, and trauma-related disorders. With over 30 locations throughout the U.S. and treatment options available virtually, we meet patients where they're at to offer innovative, compassionate, and comprehensive care.Job SummaryWe are seeking a highly...

  • Mental Health Specialist

    4 weeks ago

    San Antonio, Texas, United States Innova Recovery Center Full time

    Job Title: Mental Health SpecialistJob Summary:We are seeking a skilled Mental Health Specialist to join our team at Innova Recovery Center. As a key member of our residential treatment center, you will play a vital role in delivering quality care to clients and ensuring their overall well-being.Responsibilities:- Deliver quality care to clients within a...

  • Mental Health Care Specialist

    4 weeks ago

    San Antonio, Texas, United States Innova Recovery Center Full time

    Job Title: Mental Health Care SpecialistJob Summary:We are seeking a skilled Mental Health Care Specialist to join our team at Innova Recovery Center. As a key member of our residential treatment center, you will play a vital role in delivering quality care to clients and ensuring their comfort and well-being.Responsibilities:* Deliver quality care to...

  • Backup and Disaster Recovery Specialist

    3 weeks ago

    San Antonio, Texas, United States Centre Technologies Full time

    Job DescriptionWe are seeking a highly skilled Backup and Disaster Recovery Specialist to join our team at Centre Technologies. As a key member of our IT team, you will be responsible for managing technical skill areas across all lines of business for our customers.The ideal candidate will have a strong background in backup and disaster recovery solutions,...

  • Mental Health Specialist

    4 weeks ago

    San Antonio, Texas, United States Innova Recovery Center Full time

    Job SummaryAt Innova Recovery Center, we are seeking a highly skilled and compassionate Mental Health Specialist to join our team. As a key member of our residential treatment center, you will play a vital role in delivering quality care to our clients.Key Responsibilities:Provide direct care to clients in a residential settingSupervise clients while on...

  • Medical Collector Specialist

    6 days ago

    San Antonio, Texas, United States Addison Group Full time

    Job Title: Medical Collector SpecialistLocation: San Antonio, TXIndustry: HealthcarePay: $19-20 per hourWe are seeking a Medical Collector Specialist for a fast-paced office environment. This role is essential for handling information about patient services and payment processes. The ideal candidate will have strong customer service skills and the ability to...

  • Collections Recovery Manager

    3 weeks ago

    San Antonio, Texas, United States PENFED Credit Union Full time

    Job Title: Collections Recovery ManagerOverview:PENFED Credit Union is seeking a highly skilled Collections Recovery Manager to join our team. As a key member of our Collections department, you will be responsible for driving the strategy of the unit and ensuring corporate strategic initiatives are supported.The primary purpose of this role will be to...

  • Billing Support Specialist

    4 weeks ago

    San Antonio, Texas, United States Empower Behavioral Health LLC Full time

    Job OverviewThe Billing Support Specialist at Empower Behavioral Health plays a vital role in the billing department, supporting the team in various duties and tasks. This position requires strong communication skills, attention to detail, and the ability to work independently and as part of a team.Key Responsibilities:Assisting in Denial Management:...

  • Recovery Support Specialist

    3 weeks ago

    San Antonio, Texas, United States BayMark Health Services Full time

    Job Summary:Our Recovery Support Staff team works hands-on with clients on a non-clinical basis throughout the duration of the clients stay. This role is responsible for 24-hour direct supervision of clients, holding each client personally accountable through the enforcement of policy and procedure. The Recovery Support Staff serves each client by offering...

  • Nurse Specialist

    4 weeks ago

    San Antonio, Texas, United States Westover Hills Baptist Hospital Full time

    Job SummaryAs a Registered Nurse in our Recovery department, you will provide high-quality patient care and support to patients recovering from surgery. This is a full-time opportunity working days at Westover Hills Baptist Hospital.ResponsibilitiesProvide professional nursing care to patients in the recovery room, ensuring their comfort and...

  • Accounts Receivable Specialist

    4 weeks ago

    San Antonio, Texas, United States United Surgical Partners International Inc (USPI) Full time

    Job SummaryWe are seeking a highly skilled Accounts Receivable Specialist to join our team at United Surgical Partners International Inc (USPI). The successful candidate will be responsible for timely follow-up and resolution on all outstanding A/R, including unpaid/underpaid/denied claims for all payers, including self-pay, to obtain maximum...

  • FEMA Disaster Recovery Engineer

    3 weeks ago

    San Antonio, Texas, United States CDM Smith Full time

    Job Title: FEMA Disaster Recovery EngineerConduct site inspections to validate and record infrastructure damage, including taking photographs, making site sketches, and writing detailed damage descriptions.Develop and review scopes of work and cost estimates, including code and standard requirements.Review and analyze engineering reports, designs, and...

  • Substance Abuse Recovery Specialist

    10 hours ago

    San Antonio, Texas, United States Soba Texas LLC Full time

    Job Title: Substance Abuse TechnicianAbout the Position:Soba Texas LLC is seeking a dedicated and compassionate Substance Abuse Technician to join our team. The ideal candidate will possess strong communication skills, a positive attitude, and a commitment to providing exceptional care to our clients.Responsibilities:Facilitate daily activities to support...

  • Mental Health Recovery Specialist

    3 weeks ago

    San Marcos, Texas, United States Camber Children's Mental Health Full time

    Camber Children\u2019s Mental Health is seeking a skilled Mental Health Recovery Specialist to join our team.Key Responsibilities:Conduct thorough assessments of patients\u2019 mental well-being and physical health.Develop personalized recovery plans that outline goals and strategies for patients.Connect patients with various treatment methods, including...

  • Collections Recovery Manager

    3 weeks ago

    San Antonio, Texas, United States PENFED Credit Union Full time

    About UsEstablished in 1935, PenFed is a leading financial institution with over 2.8 million members and $36 billion in assets. We serve members nationwide and worldwide, with a focus on providing world-class service and support.Job DescriptionAs a Collections Recovery Manager at PenFed, you will play a critical role in driving the strategy of our...