Supervisor of Payment Posting and Reimbursements - Fulltime-Days

Cape Fear Valley Health; Fayetteville (NC); On-site; USD 75,000 - 105,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC, seeks a Management-level leader for the Corporate Revenue Cycle System & Support to supervise cash applications, refunds, and related processes. You will develop procedures to improve payment posting efficiency and ensure month-end balancing.

The role requires 3 years’ supervisory experience in payment posting or a related area, strong leadership and communication skills, and knowledge of CPT-4 and ICD-9 coding.

Qualifications

• Requires a high school diploma; Bachelor’s degree preferred for advancement.
• Minimum 3 years’ experience in payment posting/management or supervisory roles.
• Strong English communication, computer literacy, and knowledge of medical terminology.

Responsibilities

• Supervise and train payment posting specialists, refunds specialists, cash applications specialists and receptionist; conduct performance appraisals.
• Develop, implement and maintain procedures for processing payments and refunds to improve production.
• Oversee processing of refunds and verify credit and documentation.
• Stay current with insurance contracts and troubleshoot reimbursement issues.
• Maintain and oversee deposits, vouchers, and EOBs according to department procedures.
• Ensure compliance with Federal regulations for maximum reimbursement.
• Monitor daily operations and employee performance for quality control.
• Reconcile deposits and perform month-end balancing.
• Review vouchers to ensure correct payments from carriers; conduct meetings on denials and rejections.
• Other duties as assigned.

Skills

English proficiency

Computer literacy

Medical terminology

EOB interpretation

CPT/ICD coding

PC/CRT experience

Leadership

Communication skills

Training & implementation

Education

High school diploma

Bachelor's degree in Business Administration preferred

Job description

Department

Corporate Revenue Cycle System & Support

Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

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

• 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

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