Credit Balance Specialist-Full Time-Days
Cape Fear Valley Health · CFV
Facility
Cape Fear Valley Medical CenterLocation
Fayetteville, North CarolinaDepartment
Corporate Revenue Cycle System & SupportJob Family
ClericalWork 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
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