Credit Balance Specialist

Department

Corporate Revenue Cycle System & Support

Cape Fear Valley Medical Center

Fayetteville, North Carolina

Clerical

Days (United States of America)

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.

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

• High school diploma or equivalent required

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

• Clerical perception required for detecting errors in computation and posting
• Ability to pass a Windows aptitude test and a 10-key calculator test

• 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

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