Third-Party Claims Billing Specialist

CarolinaEast Health System; New Bern (NC); On-site; USD 36,000 - 56,000; Full time

Job summary

CarolinaEast Health System is seeking a detail-oriented medical office professional to review, follow up, and collect third party insurance claims in New Bern, NC. The role supports a high-volume billing workflow and requires proficiency with CPT-4 and HCPCS coding, as well as strong customer service skills to uphold standards of excellence.

The position emphasizes accurate claim submission, denial management, and collaboration with payer systems to ensure timely reimbursement.

Qualifications

• High school diploma or equivalent.
• Minimum of three years of medical office experience.
• Understanding of the 1500 Physician billing form and related claims.
• Knowledge of CPT-4 and HCPCS coding and modifier usage.
• Familiarity with eligibility, coverage and benefits for government programs.
• Experience with PC applications, Windows and Word.
• Deliver outstanding customer service that meets CarolinaEast's Standards of Excellence.

Responsibilities

• Review, follow-up and collect third party insurance claims.

Skills

Medical billing

Customer service

Attention to detail

Education

High school diploma or equivalent

Tools

CPT-4 knowledge

HCPCS knowledge

Windows OS

Microsoft Word

Job description

CarolinaEast Health System is seeking a detail-oriented medical office professional to review, follow up, and collect third party insurance claims in New Bern, NC. The role supports a high-volume billing workflow and requires proficiency with CPT-4 and HCPCS coding, as well as strong customer service skills to uphold standards of excellence.

The position emphasizes accurate claim submission, denial management, and collaboration with payer systems to ensure timely reimbursement.