Credit Balance Specialist-Full Time-Days

Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

Corporate Revenue Cycle System & Support

Job Family

Clerical

Work Shift

Days (United States of America)

Summary

Analyzes all credit balances before a refund or adjudication is considered and/or processed. Analyzes accounts for posting errors and may assist with the Medicaid/Medicare Quarterly Credit Balance Reports to include all entities. Performs duties while remaining compliant to all CMS and Cape Fear Valley Health Compliance guidelines. May assist with the preparation of the annual Escheatment Report to ensure all North Carolina Escheatment processes are followed.

Major Job Functions

The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:

Identifies and reviews accounts for proper resolution by balance transfer, adjustment or refund to the proper entity

Determines if a refund is needed and follows correct procedure for completing refund request and any necessary paperwork for the Accounts Payable Department

Calls insurance companies regarding any discrepancy in payments or coordination of benefits if necessary

Calls patient regarding any discrepancy in coordination of benefits if necessary

Follows proper procedure for forwarding accounts to other departments for resolution if needed

Reviews incoming refund requests for accuracy and processes refunds

Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training :

High school diploma or equivalent required

Work Experience :

2 years clerical experience preferably in a hospital business office or accounting department preferred

Knowledge, Skills, and Abilities Required :

Proficiency in reading, writing, and speaking the English language

Clerical perception required for detecting errors in computation and posting

Ability to pass a Windows aptitude test and 10-key calculator test

Physical Requirements :

Near visual acuity for reading various records

Numerical ability and keying of data quickly and accurately

Motor coordination and finger dexterity

Good communication skills both oral and written

Required Licenses and Certifications

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity