CASH MGMT OVERPAYMENT RESOLUTION ANALYST

CO1000 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.; United States; On-site; USD 28,000 - 43,000; Full time

Job summary

Moffitt Cancer Center in Florida is seeking an Overpayment Resolution Analyst to ensure all payments are recorded accurately by resolving credit balances, improper postings, and contract adjustments. You will analyze accounts using system reports, EOBs, and payer remittance to determine refunds, adjustments, or transfers.

Applicants need strong analytical skills, proficiency in Excel and Word, and the ability to read EOBs.

Qualifications

• Must have strong analytical and critical thinking skills.
• Must be proficient in Microsoft Excel and Word.
• Must be able to successfully read and understand EOBs (Explanation of Benefits).

Responsibilities

• Analyze and resolve credit balances and improper postings.
• Investigate accounts using system reports, patient receivable balances, EOBs and payer remittance to determine refunds/adjustments.
• Request cash corrections, adjustments or balance transfers to ensure account balance is correct.
• Maintain knowledge of payer contracts based on payer matrix from Managed Care Contracting.

Skills

Analytical skills

Critical thinking

Excel

Word

EOB interpretation

Independent work

Education

High School Diploma/GED

AA/AS Degree

Job description

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.

Summary Overpayment Resolution Analysts is responsible for ensuring all payments received have been properly recorded through the analysis and resolution of credit balances, improperly posted payments and contractual adjustments, and any system errors in the patient account system. Resolution will include investigating accounts through review and analysis of system generated reports, patient receivable balances, insurance allocation notes, EOBs (Explanation of Benefits) and payer remittance advices to determine if a refund, adjustment, or balance transfer is needed. The Overpayment Resolution Analyst will request any cash corrections, adjustments or balance transfers need to ensure account balance is correct. If a refund is still required, the analyst with then request a refund in the account system for approval by management.

Maintaining the most current knowledge of the ever-changing contracts of all payers based on the payer matrix from Managed Care Contracting department.

Minimum Education Level: High School Diploma/GED

Minimum Experience Required: Minimum five (5) years' experience in a health care setting (Hospital, medical office, payer), working in revenue cycle (OR) AA/AS Degree plus a minimum three (3) years' experience in a healthcare setting (Hospital, medical office, payer), working in revenue cycle.

Minimum Skills/Specialized Training Required: Must have strong analytical and critical thinking skills. Must be proficient in Microsoft Excel and Word. Must be able to successfully read and understand EOBs (Explanation of Benefits). Ability to work independently

Preferred Experience Experience in AR (cash posting or refunds) in hospital billing or working as an analyst in revenue cycle in hospital billing. Soarian Financials and Epic Health Systems Associate's Degree in Healthcare, Business, IT Salary Range $20.64 - $31.47 Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions. We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.

Moffitt Career Site If you have the vision, passion, and dedication to contribute to our mission, then we have a place for you!

• 1. Equal Employment Opportunity Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.
• 2. Reasonable Accommodation Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at 813-745-7899 or by email at [e-mail]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Read more information about yourEEO rights under the law.

Transparency in Coverage Rule Careers Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.