Overpayment Specialist 3

Inova Center for Personalized Health is looking for a dedicated Overpayment Specialist 3 to join the team. This role will be full-time day shift from Monday - Friday - Business hours. This is a hybrid position.

The Overypayment Specialist 3 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 3 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.
• Reviews overpayment demand letters from payer and third-party vendors.
• 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.
• Assists with correspondence and check run on site
• Researches payment discrepancies, duplicate payments, coordination of benefits issues, and billing errors to ensure proper disposition of account credits.

Minimum Qualifications:

• Education: High School or GED
• Experience: 3 years of related experience

Preferred Qualifications:

• Previous experience as a Overpayment/Cash Specialist
• Knowledge of Banking procedures
• 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.