Supervisor of Payment Posting and Reimbursements - Fulltime-Days

Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

Corporate Revenue Cycle System & Support

Job Family

Management

Work Shift

Days (United States of America)

Summary

Supervise and monitor all cash applications. Develop and implement procedures to improve efficiency of payment posting, refunds and adjustments. Oversee refund processing. Perform month-end balancing.

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:

Supervise and train payment posting specialist, refund specialist, cash applications specialist and receptionist to include the completion of performance appraisals

Develop, implement and maintain innovative procedures for processing payments and refunds to improve production

Oversee the processing of refunds to include verification of credit and documentation attached

Keep abreast of current insurance contracts and troubleshoots problems that arise with incorrect reimbursement

Maintain and oversee deposits, vouchers, and EOBs in accordance with procedures established by the department

Ensure compliance with Federal regulations for maximum reimbursement

Ensure quality control by monitoring daily operations and employee performance

Responsible for the reconciliation of deposits and month-end balancing

Review vouchers periodically to ensure that correct payments are being received from carriers and hold meetings to review denials and rejections

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

Bachelor's degree in Business Administration preferred

Work Experience :

3 years’ experience in payment posting/management or supervisory experience required

Knowledge, Skills, and Abilities Required :

Proficiency in reading, writing, and speaking the English language

Knowledge of computer functions

Knowledge of medical terminology

Ability to read and interpret EOB's and vouchers

Knowledge of CPT-4 and ICD-9 coding

PC and CRT experience

Leadership qualities and organizational skills

Good written and oral communication skills

Ability to train personnel, directs implementation of policies and procedures, and establish and maintain effective relationships with necessary agencies

Physical Requirements :

Numerical ability required

Motor coordination and finger dexterity to operate calculator, computer terminal, and typewriter

Talking and hearing to give information by phone

Required Licenses and Certifications

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