Insurance Claims Specialist

3 weeks ago


Wilmington, North Carolina, United States Wilmington Health Full time
Job Summary

We are seeking a highly organized and detail-oriented Insurance Claims Specialist to join our team at Wilmington Health. As an Insurance Claims Specialist, you will be responsible for ensuring prompt collection of insurance claims and providing excellent customer service to our patients and insurance carriers.

Key Responsibilities
  • Follow up with insurance carriers regarding outstanding claims
  • File claims that require additional documentation
  • Verify patient benefits as requested by physicians
  • Update patient insurance information as necessary
  • Correspond with insurance carriers regarding appeals and inquiries
  • Communicate insurance regulation changes to supervisors
  • Follow up with patients and insurance carriers regarding denied claims and terminated coverage
  • Respond to telephone calls and review/respond to correspondence
  • Process computer refunds due to patients and insurance companies
  • Establish payment plans
  • Collaborate with occupational health and corporate wellness to establish integrated business plans
Requirements
  • High school diploma or equivalent
  • 3-5 years' experience in a medical office environment
  • Full COVID-19 vaccination required
Preferred Qualifications
  • Experience in medical office administration
  • Knowledge of OSHA and DOT regulations
  • Experience with urine drug screen collection and breath alcohol tests
  • BLS/CPR certification
About Wilmington Health

Wilmington Health is a multi-specialty medical practice committed to providing high-quality care to our patients. We are an equal opportunity employer and welcome applications from diverse candidates.



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