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Overpayment Analyst Resume Example

Resume Score: 80%

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OVERPAYMENT ANALYST
Career Focus
Overpayment Analyst  with more than 5 years of experience in validating insurance and patient overpayments.  
Accomplishments
100% QA
Train new hires in my department
​
​
Summary of Skills
  • Customer Service
  • Issuing insurance and patient refunds
  • Experienced in understanding insurance contracts
  • Word Document
  • Excel Spreadsheets
  • 10 Key Calculator
  • Typing
Professional Experience
07/2011 to Current
Overpayment AnalystParallon Business Solutions - San Antoni, TX

I am responsible for researching and resolving overpayment discrepancies, credit balances, returned hospital refund checks and handling patient concerns.  Duties include, but, not limited to:

Perform and validate discrepancy reason coding. Initiate refunds of identified overpayments and resolve open discrepancies. Monitor take-backs and intiate refunds as appropriate. Review and resolve credit balances.  Research returned refund checks and take the necessary action to resolve. Identify problem accounts, processes, trends and escalate as appropriate. 

​

07/2009 to 07/2011
Patient Day Reconciliation AnalystParallon Business Solutions - San Antonio, TXBalanced inpatient accounts from night census reports from the different hospitals for accurate count of inpatients at the hospitals. Batch net process-corrected batch rejects, posted insurance payments to accounts. 
03/2008 to 06/2009
Pre Admissions AnalystParallon Business Solutions - San Antonio, TXPre-Registered patients for future hospital admissions.  Validated and updated insurance information.  Obtained insurance benefits and pre-certifications and authorizations.  Collected patient deductibles, co-insurance and co-pays. 
Education
1989
High School Diploma: General StudiesThomas Jefferson - San Antonio, TX, United States
San Antonio College - San Antonio, TX, 78240
Certification: Medical Billing & CodingUniversity of Incarnate Word Online - San Antonio, TX, United States
Professional Affiliations
Woodmen of the World
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Parallon Business Solutions

School Attended

  • Thomas Jefferson
  • San Antonio College
  • University of Incarnate Word Online

Job Titles Held:

  • Overpayment Analyst
  • Patient Day Reconciliation Analyst
  • Pre Admissions Analyst

Degrees

  • High School Diploma : General Studies
    Certification : Medical Billing & Coding

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