Medical Insurance AR Specialist: Claims & Denials

Wilmington Health; Wilmington (NC); Hybrid; USD 55,000 - 70,000; Full time

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

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

Education

High school diploma or GED

Tools

Windows

Microsoft Word

Microsoft Excel

Job description

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.