Overpayment Analyst

The Overpayment Analyst is responsible for investigating and resolving payment discrepancies, credit balances, returned hospital refund checks, and addressing patient concerns.

• Perform and validate discrepancy reason coding.
• Initiate refunds for identified overpayments and resolve outstanding discrepancies.
• Monitor refunds and ensure timely initiation of reimbursements.
• Review and resolve credit balances.
• Answer phone calls and resolve patient inquiries related to account balances.
• Investigate returned refund checks and take necessary action to resolve them.
• Identify problematic accounts, processes, or trends and escalate as appropriate.
• Use effective documentation standards to maintain a clear historical record of actions taken on accounts.
• Perform basic mathematical operations to ensure accuracy of account balances.
• Meet organizational productivity and quality standards.
• Complete and understand all educational requirements in a timely manner.
• Practice and adhere to the "Code of Conduct" philosophy and the organization's Mission and Values statement.

• English–Spanish proficiency (oral and written B2+ or above).
• High School Diploma required.
• At least 6 months of experience in data entry or customer service roles.
• Flexibility to adjust local schedule to align with resources supporting this position during Eastern Time daylight saving changes.
• A genuine interest in working with and assisting customers.
• Demonstrated experience delivering high levels of customer satisfaction and performance in a high-volume, fast-paced environment preferred.
• Professional appearance and a polite, tactful, and friendly demeanor.
• Minimum of 1 year of relevant experience required, preferably in healthcare. Relevant education may substitute for experience.
• Communication: Ability to communicate clearly and concisely, both verbally and in writing, including correct punctuation, spelling, and accurate transcription.
• Customer Orientation: Builds and maintains long-term relationships with customers, fostering trust and respect by consistently meeting and exceeding expectations.
• Interpersonal Skills: Able to work effectively with other employees, patients, and external parties.
• PC Skills: Demonstrates proficiency in Microsoft Office applications and other software as needed.
• Policies and Procedures: Demonstrates knowledge and understanding of organizational policies, procedures, and systems.
• Core Skills: Ability to organize, perform, and track multiple tasks accurately within short timeframes; able to work quickly and precisely in a fast-paced environment while managing multiple demands; ability to work both independently and collaboratively in a team; adaptability; analytical and problem-solving skills; attention to detail; ability to perform basic math calculations, balance and reconcile figures, punctuate and spell correctly, and transcribe accurately

Auxis prioritizes employee growth and development to help you advance your career. Auxis’ culture empowers you to be your best in the interest of a common team goal. We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.

Benefits

• Health benefits including medical, vision, and dental.
• Asociacion Solidarista
• Training and development programs
• Employee recognition program
• Paid time off and family-paid leave
• Paid day off for your birthday!