Insurance AR Specialist - Claims & Denials Expert

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

Job summary

Carle Health is seeking an Accounts Receivables Insurance Specialist I in Champaign, IL to manage insurance claims and payments in accordance with payer rules and HIPAA requirements. You will validate coverage, resolve claim edits, follow up on unpaid balances, and communicate with insurance companies and internal departments to ensure accurate submissions and timely reimbursement.

The role requires strong organization, discretion with confidential information, and the ability to multitask in a

Qualifications

• High School Diploma or GED required.
• Strong written and oral communication skills; confidentiality is essential.
• Ability to manage a large volume of work and multitask.

Responsibilities

• Take initiative but seek guidance when needed.
• Submit timely claims to health insurance carriers electronically or on paper.
• Monitor and resolve unpaid, denied, or adjusted claims and prepare appeals when needed.
• Document collection activities thoroughly in the billing system.
• Resolve charge review edits and payer rejections to ensure accurate billing.
• Retrieve documentation and eligibility information from payer sites to support corrected submissions.
• Apply payments to open balances and resolve incoming correspondence.
• Assist callers and direct inquiries to appropriate representatives.

Skills

Communication

Confidentiality

Multitasking

High volume work

Education

High School Diploma or GED

Job description

Carle Health is seeking an Accounts Receivables Insurance Specialist I in Champaign, IL to manage insurance claims and payments in accordance with payer rules and HIPAA requirements. You will validate coverage, resolve claim edits, follow up on unpaid balances, and communicate with insurance companies and internal departments to ensure accurate submissions and timely reimbursement.

The role requires strong organization, discretion with confidential information, and the ability to multitask in a