Overpayment Resolution Coordinator

HorseShoe Beverage Company; Knoxville (TN); On-site; USD 25,000 - 33,000; Full time

Job summary

Knoxville Orthopaedic Clinic is seeking an Overpayment Resolution Coordinator for our Revenue Cycle team in Knoxville, TN. The role focuses on researching and resolving payer and patient credit balances to ensure accurate overpayments handling in line with KOC policies.

The ideal candidate will have healthcare Revenue Cycle experience, strong research and reconciliation skills, and the ability to work through detailed account activity from start to final resolution.

Qualifications

• Experience in healthcare Revenue Cycle or related financial role.
• Familiarity with ERA, EOB, refunds, and account reconciliation.
• Strong analytical, research, and problem-solving abilities.
• Attention to detail and ability to manage multiple priorities.

Responsibilities

• Review and resolve payer and patient credit balances and refunds.
• Investigate overpayments from duplicate payments or posting errors.
• Analyze remittance advice and EOBs to validate overpayments.
• Determine resolution: refunds, transfers, adjustments, or rebilling.
• Prepare documentation and obtain required approvals.
• Monitor deadlines for recoupments and offsets.
• Collaborate with Revenue Cycle and Accounting teams to correct balances.
• Maintain accurate notes and supporting documentation.

Skills

Analytical skills

Research skills

Account reconciliation

Payer/ERA knowledge

Communication skills

Education

High school diploma or equivalent

Tools

Practice-management systems

Payer portals

Excel

Job description

• Location 8320 E. Walker Springs Lane,Suite 200,Knoxville, TN, 37923,United States
• Employee Type Non-Exempt FT

Contact information

• Name Samantha McGuire
• Email [e-mail]

Description

Knoxville Orthopaedic Clinic (KOC) is seeking a detail-oriented and analytical Overpayment Resolution Coordinator to join our Revenue Cycle team. This position is responsible for researching and resolving payer and patient credit balances to ensure overpayments are handled accurately, efficiently, and in accordance with KOC policies and applicable requirements.

The Overpayment Resolution Coordinator will investigate account activity, determine the source of overpayments, process appropriate refunds and adjustments, respond to payer recoupments and offsets, and maintain accurate documentation throughout the resolution process. This role works closely with multiple areas of the Revenue Cycle and Accounting teams to support financial accuracy and reduce outstanding credit balances.

The ideal candidate has previous healthcare Revenue Cycle experience, strong research and reconciliation skills, and the ability to independently work through detailed account activity from initial review through final resolution.

What You'll Do

Review and resolve payer and patient credit balances, refund requests, recoupment notices, correspondence, and assigned work queues.

Research overpayments resulting from duplicate payments, payment reversals, insurance reprocessing, coordination-of-benefits changes, corrected claims, posting errors, and other account activity.

Review remittance advice, explanations of benefits, payer correspondence, account histories, and supporting documentation to validate overpayments.

Determine the appropriate resolution, including refunds, transfers, adjustments, corrected claims, rebilling, or additional payer follow-up.

Prepare accurate refund and adjustment documentation and route requests through established approval processes.

Review and respond to payer recoupments, take-backs, and offsets while monitoring applicable deadlines.

Reconcile credit-balance activity with payment-posting records and coordinate with Accounting when additional financial research is needed.

Collaborate with Payment Posting, Insurance Billing, Claim Resolution, Patient Accounts, Registration, and other Team Members to resolve account discrepancies.

Communicate professionally with payers, patients, Team Members, and external partners regarding overpayments and resolution requirements.

Maintain complete and accurate account notes, approvals, correspondence, refund records, and supporting documentation.

Monitor assigned inventory and aging to ensure accounts are followed through final resolution.

Identify recurring overpayment trends, payer issues, posting errors, and workflow opportunities and communicate findings to leadership.

Support audits, compliance reviews, and quality-control activities by providing accurate documentation and account information.

Maintain confidentiality and comply with HIPAA, financial-control, billing, payer, and organizational requirements.

Meet established productivity, accuracy, documentation, and turnaround-time expectations.

What We're Looking For

High school diploma or equivalent required.

Minimum of two years of experience in healthcare Revenue Cycle, payment posting, patient accounts, refunds, credit-balance resolution, or a related financial role.

Working knowledge of electronic remittance advice (ERA), explanations of benefits (EOB), payment adjustments, refunds, recoupments, offsets, and account reconciliation.

Strong analytical, research, reconciliation, and problem-solving skills.

Excellent attention to detail and ability to manage multiple accounts, priorities, and deadlines.

Strong written and verbal communication skills.

Ability to work professionally with patients, payers, Team Members, and external partners.

Proficiency with practice-management systems, payer portals, spreadsheets, email, and common office applications.

Ability to appropriately handle confidential patient and financial information.

Preferred Experience

Experience in a multi-site physician practice, orthopaedic organization, or other complex healthcare Revenue Cycle environment.

Previous experience investigating payer and patient credit balances and processing refunds.

Experience responding to payer recoupments, take-backs, and offsets.

Relevant Revenue Cycle education or certification.

Advanced experience with account reconciliation, financial reporting, or financial-control processes.

Join the KOC Team

At Knoxville Orthopaedic Clinic , our Revenue Cycle Team Members play an important role in supporting the financial health and day-to-day operations of our organization. The Overpayment Resolution Coordinator is an opportunity for someone who enjoys researching account activity, solving discrepancies, working with detailed financial information, and seeing issues through to resolution .

Knoxville Orthopaedic Clinic is an Equal Employment Opportunity (EEO) employer. We are committed to providing a positive work environment where all individuals are treated with respect and dignity. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by law.