Remote Claims, Billing & Collections Specialist

WakeMed Health & Hospitals; Raleigh (NC); On-site; USD 42,000 - 60,000; Full time

Job summary

WakeMed Health & Hospitals in Raleigh seeks a Finance & Accounting Representative to ensure accurate billing of claims, resolve claim edits, process claims, and perform claim follow-up activities. The role also involves resolving denied claims and providing support for Patient Account Representatives within the department, contributing to timely collections and overall financial health of the facility.

Candidates should have a high school diploma, with an associate degree preferred, and at least

Qualifications

• High school diploma or equivalent required.
• Associate's degree in business administration preferred.
• Minimum 2 years in accounting/finance—collections.
• Minimum 2 years in accounting/finance—patient accounting.

Responsibilities

• Accurate billing of claims according to payor guidelines.
• Resolve claim edits and process claims.
• Follow up on claims and resolve denied claims.
• Support for Patient Accounts Representatives in the department.

Skills

Billing

Claims processing

Denial resolution

Patient accounting

Education

High School Diploma or Equivalent

Associate's Degree in Business Administration Preferred

Job description

WakeMed Health & Hospitals in Raleigh seeks a Finance & Accounting Representative to ensure accurate billing of claims, resolve claim edits, process claims, and perform claim follow-up activities. The role also involves resolving denied claims and providing support for Patient Account Representatives within the department, contributing to timely collections and overall financial health of the facility.

Candidates should have a high school diploma, with an associate degree preferred, and at least