Insurance Accounts Receivable Specialist - Full Time

Wilmington Health; Wilmington (NC); Híbrido; USD 55.000 - 70.000; Jornada completa

Descripción de la vacante

Wilmington Health seeks an Insurance Accounts Receivable Specialist to manage prompt collection of amounts due in a full-time role based in Wilmington, NC, with potential remote option later.

Responsibilities include following up with carriers, filing claims needing documentation, verifying benefits, updating insurance information, and communicating changes to supervisors and departments.

Formación

• High school diploma or GED required.
• 3-5 years' experience in a medical office environment or equivalent.
• 2-3 years in medical billing, denials, appeals; remote option possible.

Responsabilidades

• Follow-up with carrier regarding outstanding claims.
• File claims requiring additional documentation.
• Verify benefits as requested by physician.
• Change insurance information as appropriate.
• Correspond with carrier on appeals and inquiries.
• Communicate changes in insurance regulations to supervisor.
• Contact patient/carrier regarding denials or termination of coverage.
• Respond to telephone calls and correspondence.
• Process refunds for patients/insurers.
• Establish payment plans.

Conocimientos

Customer Service

Professionalism/Integrity/Responsibl

Teamwork/Process Focus

Dependability/Punctuality

Interpersonal Relationships/Communic

Judgment/Decision Making/Problem Solv

Quality/Quantity

Initiative

Safety/Housekeeping

Organizational Skills/Time Management

Educación

High school diploma or GED

Herramientas

Windows

Microsoft Word

Microsoft Excel

Descripción del empleo

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Accounts Receivable Specialist - Full Time

Central Business Office Accrues PDO Wilmington, NC, US

About Wilmington Health

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

Purpose

Ensures prompt collection of the appropriate amount due

Essential Duties/Responsibilities

• Follow-up with carrier regarding outstanding claims as noted on the outstanding invoice report
• Fileclaimsthatrequireadditionaldocumentation
• Verifybenefitsasrequestedbyphysician
• Changeinsuranceinformationasappropriate
• Correspondtocarrierforsuchthingsasappealsandorinquiries
• Communicateallinsuranceregulationchangestosupervisor
• Contactpatientandorcarriertofollow-upon denialsandterminationofcoverage
• Respondtotelephonecalls;reviewandrespondtocorrespondence
• Processcomputerrefundsduepatientsandinsurancecompanies
• Establish payment plans

Other Duties

• As assigned by manager

QUALIFICATIONS

Required

• High school diploma or general education degree (GED)
• 3-5 years' experience in a medical office environment or equivalent combination of education and experience
• 2-3 years of experience in medical billing, specifically with claims denials, appeals, corrected claims. May have a remote option at a certain point.

Preferred

• Experience in Medical Office Administration
• Knowledge of the OSHA and DOT regulations

Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran’s status, sexual preference, disability, genetic information, or any other class protected under state or federal law.

ADA Physical Demands

Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

Physical Demand

Required?

Frequency

Standing

Occasionally

Sitting

Continuously

Walking

Occasionally

Kneeling/Crouching

Rarely

Lifting

Rarely

Insurance Advisor Competencies

General

• CustomerService
• Professionalism/Integrity/Responsibility
• Teamwork/Process Focus
• Dependability/Punctuality
• InterpersonalRelationships/Communication
• Judgment/Decision Making/Problem Solving
• Quality/Quantity
• Initiative
• Safety/Housekeeping
• Organizational Skills/Time Management

Department Specific:

• Decision-makingskillsregarding‘nextstep’whenworkingappeals
• Resourcefulinfindingappropriateinformationtoassistinresolvingtheissueathand
• Up-to-datewithcarrierchangesaswellasspecialty-specificchanges
• Effectivelycommunicatechangestodepartmentsandco-workers
• Useallavailabletoolsandresourcestoaccomplishjobdutiesinanefficientandtimelymanner
• Strong computer skills, i.e., Windows environment, word processing, spreadsheets, etc.
• Effective use of software and web-based carrier sites for submission of claim and requested documentation
• Reliable source of information in regards to assigned carrier rules and requirements