Insurance AR Specialist: Claims, Appeals & Collections

Carle; Champaign (IL); On-site; USD 24,000 - 39,000; Full time

Job summary

Carle Health is seeking an Accounts Receivables Insurance Specialist I to manage the accounts receivable process in alignment with compliance and billing guidelines. You will collect from payer portals or by phone, validate coverage, and address rejections to ensure accurate claims processing.

Collaborating with Billing, Coding, Cash Posting, and other teams, you will resolve disputes, prepare appeals, and document actions thoroughly in the billing system while supporting timely reimbursements

Qualifications

• Ability to take initiative and follow directions
• HIPAA-compliant handling of confidential information
• Strong problem-solving and critical thinking skills

Responsibilities

• Submit timely and accurate claims to health insurance carriers
• Prepare and file non-complex reconsiderations and appeals
• Monitor and resolve unpaid, rejected, or denied claims
• Document collection activities thoroughly in the billing system
• Resolve charge review edits and payer rejections to ensure accurate billing

Skills

Initiative

HIPAA compliance

Problem solving

Discretion

Tools

Billing system

Payer portals

Clearinghouse

Job description

Carle Health is seeking an Accounts Receivables Insurance Specialist I to manage the accounts receivable process in alignment with compliance and billing guidelines. You will collect from payer portals or by phone, validate coverage, and address rejections to ensure accurate claims processing.

Collaborating with Billing, Coding, Cash Posting, and other teams, you will resolve disputes, prepare appeals, and document actions thoroughly in the billing system while supporting timely reimbursements