Insurance AR Specialist — Claims & Collections

Carle Health; Champaign (IL); On-site; USD 23,000 - 39,000; Full time

Job summary

Carle Health is seeking an Accounts Receivables Insurance Specialist 1 to manage billing and follow-up with payers, ensuring compliant, timely submissions and accurate claim processing. The role involves verifying coverage, correcting edits, and handling payer queries to optimize cash flow.

The position emphasizes HIPAA-compliant handling of confidential data, clear communication with internal teams, and thorough documentation of all collection activities.

Responsibilities

• Take initiative while accepting direction and seek guidance when needed.
• Manage confidential information in a HIPAA-compliant manner.
• Submit timely and accurate claims to health insurance carriers.
• Submit non-complex reconsiderations and appeals via paper, fax or web portal.
• Monitor, research, and resolve unpaid, rejected, or allowance discrepancy claims.
• Document collection activities thoroughly in the billing system.
• Identify and resolve insurance setup errors to facilitate timely billing.
• Respond to inquiries from patients, insurers, and third-party payers.

Tools

Payer portals

Clearinghouse

Billing systems

Clinical applications

Payer websites

Job description

Carle Health is seeking an Accounts Receivables Insurance Specialist 1 to manage billing and follow-up with payers, ensuring compliant, timely submissions and accurate claim processing. The role involves verifying coverage, correcting edits, and handling payer queries to optimize cash flow.

The position emphasizes HIPAA-compliant handling of confidential data, clear communication with internal teams, and thorough documentation of all collection activities.