Overpayment Resolution Specialist – Hybrid Day Shift

Inova Health System; Falls Church (VA); Hybrid; USD 52.000 - 76.000; Vollzeit

Benefits dieser Stelle

Health coverage

Retirement match (5%)

Education assistance (tuition) up to $

Student loan assistance

Mental health support

Paid time off & parental leave

Zusammenfassung

Inova Health System is seeking an Overpayment Specialist 2 in Falls Church, VA for a full-time day shift with a hybrid schedule (report on-site twice weekly). The role centers on resolving patient and insurance credit balances by researching overpayments, validating refunds, and processing refunds per payer contracts and regulations.

The position requires 2 years of experience, EPIC familiarity, and strong collaboration with multiple departments to maintain accurate account documentation and

Qualifikationen

• Education: High School or GED.
• Experience: 2 years of experience.

Aufgaben

• Reviews accounts with credit balances to identify resolution.
• Processes refund requests accurately and timely.
• Researches payment discrepancies to ensure proper credit disposition.
• Verifies refund eligibility by reviewing EOBs and contracts.
• Coordinates with departments and insurers to resolve balances.

Kenntnisse

Epic systems

Refund processing

Interdepartmental coordination

Ausbildung

High School Diploma or GED

Tools

EPIC

ERAs/EOBs

Jobbeschreibung

Inova Health is looking for a dedicated Overpayment Specialist 2 to join the team. This role will be full-time day shift from Monday - Friday, 8:00 a.m. - 5:00 p.m. (Hybrid - Must Report On-Site Two Times per week)

The Overpayment Specialist 2 is responsible for the timely and accurate resolution of patient and insurance credit balances by researching overpayments, validating refund eligibility, and processing refunds in accordance with payer contracts, federal and state regulations, and organizational policies. The Credit Specialist ensures compliance with refund requirements while maintaining accurate account documentation, collaborating with internal departments, and resolving credit balance discrepancies. This position takes ownership of identifying, researching, and resolving credit balances to minimize financial risk and ensure regulatory compliance.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health:offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement:Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance:offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support:offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance:offering paid time off, paid parental leave, and flexible work schedules

Overpayment Specialist 2 Job Responsibilities:

• Reviews patient and insurance accounts with credit balances to identify the cause of overpayments and determine the appropriate resolution, including refunds, adjustments, or transfers.
• Processes patient and insurance refund requests accurately and within established turnaround times while ensuring compliance with organizational policies, payer guidelines, and applicable federal and state regulations.
• Researches payment discrepancies, duplicate payments, coordination of benefits issues, and billing errors to ensure proper disposition of account credits.
• Verifies refund eligibility by reviewing payment history, explanation of benefits (EOBs), contractual obligations, and account documentation.
• Coordinates with Patient Financial Services, Revenue Cycle, Patient Access, Billing, Coding, Compliance, and insurance carriers to resolve outstanding credit balances and refund inquiries.

Minimum Qualifications:

• Education:High School or GED
• Experience: 2 years of experience

Preferred Qualifications:

• Experience accurately posting payments, adjustments, and denials in EPIC from electronic and manual remittance advices (ERAs/EOBs).
• Strong ability to review and research remittance advices to ensure proper payment application and resolve discrepancies.
• Proficiency in investigating and resolving unapplied or misapplied cash deposits in a timely manner.
• Experience reconciling daily deposits with bank statements and EPIC postings to ensure financial accuracy.
• Familiarity with month-end and year-end reconciliation processes.
• Ability to identify and escalate payment issues, trends, or system errors to management.

About Us

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Job Info

• Job Identification 685383
• Job Category Finance
• Locations Inova 8095 - Fairfax East
• Degree Level High School Diploma or Equivalent (GED/HSE)