Overpayment Specialist

Description

Meaningful work. Problem-solving that matters. A role focused on accuracy, resolution, and financial integrity. If you enjoy researching complex account issues, working independently, and improving financial outcomes within the revenue cycle, keep reading.

Why this Role is Different

This role is fully dedicated to overpayment management across Accounts Receivable and billing functions, allowing you to focus on resolution, compliance, and process improvement rather than high-volume task work.

You will work closely with revenue cycle teams to resolve credit balances, research payer activity, and support accurate reimbursement across the organization.

About the Role

The Overpayment Specialist is responsible for researching and resolving insurance and patient overpayments across the revenue cycle. This role requires strong analytical skills, attention to detail, and the ability to navigate complex payer and account activity with accuracy and efficiency.


What You Will Do

• Research and resolve insurance and patient overpayments
• Review EOBs, remittance advice, credit balances, and payer activity to identify discrepancies and root causes
• Collaborate with A/R and billing teams to ensure timely and accurate account resolution
• Maintain accurate documentation and support compliance with payer and regulatory guidelines
• Identify trends and opportunities for workflow and process improvement

Who Thrives in This Role

• You are analytical, organized, and detail-oriented
• You enjoy researching and resolving complex account issues
• You value accountability, accuracy, and teamwork
• You are comfortable managing multiple priorities independently

Requirements

• High school diploma or equivalent preferred
• 2-4 years of healthcare revenue cycle experience required
• Experience with A/R follow-up, payment posting, or overpayment resolution preferred
• Familiarity with payer contracts, EOBs, and remittance advice interpretation
• Knowledge of commercial, Medicare, and Medicaid payment methodologies, COB, and refund processes
• Proficiency with EMR systems and Google Workspace
• Strong communication, organization, and time management skills