Credit Balance Specialist-Full Time-Days

Cape-Fear-Valley-Medical-Center-; Fayetteville (NC); On-site; USD 32,000 - 42,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC is seeking a Clerical Accounts Receivable Clerk to support the revenue cycle. You will review balances, handle refunds, and coordinate with insurance and patients to resolve discrepancies.

The role emphasizes accuracy, strong data entry skills, and compliance with CMS guidelines. A high school diploma and clerical experience in a hospital setting are preferred, with good English communication and attention to detail.

Qualifications

• High school diploma or equivalent required.
• 2 years clerical experience preferred, ideally in a hospital business office.
• Proficiency in reading, writing, and speaking English; attention to detail for posting and computation.

Responsibilities

• Identifies and reviews accounts for proper resolution by balance transfer, adjustment or refund.
• Determines if a refund is needed and follows procedures for refund requests and paperwork for AP.
• Communicates with insurance companies regarding discrepancies in payments or COB when needed.
• Reviews refund requests for accuracy and processes refunds.

Skills

English proficiency

Data entry

Accounts receivable

Customer service

Education

High school diploma

Tools

Windows OS

10-key calculator

Job description

FacilityCape Fear Valley Medical CenterLocationFayetteville, North CarolinaDepartmentCorporate Revenue Cycle System & SupportJob FamilyClericalWork ShiftDays (United States of America)SummaryAnalyzes 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 FunctionsThe 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 entityDetermines if a refund is needed and follows correct procedure for completing refund request and any necessary paperwork for the Accounts Payable DepartmentCalls insurance companies regarding any discrepancy in payments or coordination of benefits if necessaryCalls patient regarding any discrepancy in coordination of benefits if necessaryFollows proper procedure for forwarding accounts to other departments for resolution if neededReviews incoming refund requests for accuracy and processes refundsOther duties as assignedMinimum QualificationsThe 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 requiredWork Experience:2 years clerical experience preferably in a hospital business office or accounting department preferredKnowledge, Skills, and Abilities Required:Proficiency in reading, writing, and speaking the English languageClerical perception required for detecting errors in computation and postingAbility to pass a Windows aptitude test and 10-key calculator testPhysical Requirements:Near visual acuity for reading various recordsNumerical ability and keying of data quickly and accuratelyMotor coordination and finger dexterityGood communication skills both oral and writtenRequired Licenses and CertificationsCape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity