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Summary

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:

• 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

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

• 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