Credit Balance Specialist-Days-Full time

Cape Fear Valley Health System - Fayetteville, NC

Full-time

Fayetteville, NC

Hospitals

About the position

The Credit Balance Specialist plays a crucial role in the financial operations of Cape Fear Valley Medical Center, specifically within the Corporate Revenue Cycle System & Support department. This position is responsible for analyzing all credit balances before any refunds or adjudications are processed. The specialist must conduct thorough analyses of accounts to identify posting errors and ensure compliance with all CMS and Cape Fear Valley Health Compliance guidelines. Additionally, the role may involve assisting with the Medicaid/Medicare Quarterly Credit Balance Reports, which encompass all entities under the healthcare system. A significant aspect of this position is the preparation of the annual Escheatment Report, ensuring adherence to North Carolina Escheatment processes. The Credit Balance Specialist must possess strong analytical skills and critical thinking abilities to determine the necessary corrections for accounts. Knowledge of insurance processes and coordination of benefits within the healthcare setting is essential. The role demands excellent customer service, organizational, and communication skills, as the specialist will often interact with various stakeholders. The work environment can be occasionally stressful, requiring the ability to prioritize multiple tasks effectively. Strong computer skills, including typing and ten-key proficiency, are necessary, along with a solid understanding of HIPAA guidelines. The position also requires near visual acuity for reading various records and entering data accurately, as well as good motor coordination and finger dexterity for efficient data entry. Overall, the Credit Balance Specialist is integral to maintaining the financial integrity of the healthcare facility, ensuring that all credit balances are accurately analyzed and processed in compliance with relevant regulations.

Responsibilities

• Analyze all credit balances before processing refunds or adjudications.
• Identify and correct posting errors in accounts.
• Assist with Medicaid/Medicare Quarterly Credit Balance Reports.
• Prepare the annual Escheatment Report following North Carolina processes.
• Ensure compliance with CMS and Cape Fear Valley Health Compliance guidelines.
• Provide excellent customer service and maintain effective communication with stakeholders.
• Utilize strong organizational skills to prioritize multiple tasks in a fast-paced environment.

Requirements

• Minimum of two years clerical experience, preferably in a hospital business office or accounting department.
• Strong numerical ability for verifying accuracy in financial records.
• Clerical perception for detecting errors in computation and posting.
• Ability to pass a Windows aptitude test and 10-key calculator test.
• Knowledge of insurance and coordination of benefits in a healthcare setting.
• Strong computer skills, including typing and ten-key proficiency.
• Understanding of HIPAA guidelines.
• Good oral and written communication skills.