Current jobs related to Medical Claims Specialist - Wilmington, North Carolina - Wilmington Health
-
Insurance Claims Specialist
4 weeks ago
Wilmington, North Carolina, United States Wilmington Health Full timeJob SummaryWe 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 ResponsibilitiesFollow up with...
-
Medical Economics Specialist Claims Analyst
1 month ago
Wilmington, North Carolina, United States Tandym Group Full timeMedical Economics SpecialistA leading healthcare organization in Maryland is seeking a Medical Economics Specialist to join their team in a remote capacity. As a key member of the Healthcare Economics team, you will play a crucial role in providing executive leadership with actionable intelligence related to the financial, clinical, and analytical...
-
Medical Billing Specialist
4 weeks ago
Wilmington, North Carolina, United States Novant Health Full timeJob Summary:We are seeking a skilled Medical Billing Specialist to join our team at Novant Health. As a key member of our revenue cycle team, you will be responsible for resolving claim rejections and assisting with all billing activities for our regions.Responsibilities:Resolve billing issues and assist other departments with billing problemsAssist in all...
-
Coding Compliance Specialist
4 weeks ago
Wilmington, North Carolina, United States Johns Hopkins HealthCare Full timeJob SummaryJohns Hopkins HealthCare is seeking a skilled Coding Compliance Specialist to join our team. As a key member of our operations team, you will play a critical role in ensuring the accuracy and integrity of our medical claims processing.Key Responsibilities Review and analyze appeals from providers to ensure benefits are applied correctly...
-
Physician Assistant
1 month ago
Wilmington, North Carolina, United States Allegiance Health Full timeJob Title: Physician Assistant - Veteran Care SpecialistWe are seeking a compassionate and skilled Physician Assistant to join our team in Wilmington, NC. As a Veteran Care Specialist, you will be responsible for performing military disability exams and providing medical opinions to support our veteran patients.Responsibilities:Conduct focused exams for...
-
Medication Administration Specialist
3 weeks ago
Wilmington, North Carolina, United States Liberty Health Full timeJob OverviewThe Medication Administration Specialist will provide medication administration for residents, ensuring accurate and timely delivery of medications. This role requires strong communication skills and attention to detail.Key Responsibilities:Administer medications as ordered by physiciansTake orders, document orders, and receive medicationsPerform...
-
Quality Assurance Specialist
4 weeks ago
Wilmington, North Carolina, United States Chili's Grill & Bar Full timeQuality Assurance SpecialistAt Chili's Grill & Bar, we're committed to delivering the best experience to every Guest, every day. As a Quality Assurance Specialist, you'll play a crucial role in ensuring that our food meets the highest standards of quality and taste.Key Responsibilities: Ensure food is prepared to company standards and specifications Keep...
-
Cardiology Nurse Specialist
3 weeks ago
Wilmington, North Carolina, United States Advantis Medical Full timeJob Title: Cardiology Nurse SpecialistJob Summary:Advantis Medical is seeking an experienced Cardiology Nurse Specialist to join our team. As a Cardiology Nurse Specialist, you will provide high-quality care to patients with cardiovascular conditions.Responsibilities:Provide compassionate and skilled care to patients with cardiovascular conditionsCollaborate...
-
Medical Management Specialist
4 weeks ago
Wilmington, North Carolina, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist to join our team at Elevance Health. As a Medical Management Specialist, you will play a critical role in providing non-clinical support to our Medical Management and/or Operations areas.Key Responsibilities Gather clinical information regarding cases and determine the appropriate area...
-
Medical Information Specialist I
4 weeks ago
Wilmington, North Carolina, United States Thermo Fisher Scientific Full timeJob Summary:Thermo Fisher Scientific is seeking a highly skilled Medical Information Specialist I to join our team. As a Medical Information Specialist I, you will be responsible for providing technical and medical information to customers, patients, and healthcare professionals.Key Responsibilities:Respond to technical and medical information inquiries via...
-
Commercial Billing Specialist
3 weeks ago
Wilmington, North Carolina, United States Coastal Horizons Center Full timeJob Summary: We are seeking a highly skilled Commercial Billing Specialist to join our team at Coastal Horizons Center. The successful candidate will be responsible for providing financial, administrative, and clerical services to ensure accuracy and efficiency of our billing operations as it relates to accounts receivable.Key Responsibilities:Follow up on...
-
Medical Imaging Specialist
2 weeks ago
Wilmington, North Carolina, United States Sunbelt Staffing Full timeJob DetailsSunbelt Staffing is seeking a skilled Medical Imaging Specialist for a travel assignment in a coastal community.Key Requirements:ARRT (MRI) certification requiredBLS certification requiredMinimum of 1-2 years of MRI experience preferredBenefits of Working with Sunbelt Staffing:Health, dental, and vision insuranceCEU and licensure...
-
Accounts Receivable Specialist
1 month ago
Wilmington, North Carolina, United States LibertyHealth System Full timeAccounts Receivable ProcessorLiberty Healthcare Management is a dynamic leader in the healthcare industry, and we are currently seeking an experienced Accounts Receivable Processor to join our team.Responsible for creating month-end billing documents and maintaining accurate submission of insurances.Monitors and controls denied claims and ADR requests,...
-
Phlebotomy Specialist
4 weeks ago
Wilmington, North Carolina, United States All Medical Personnel Full timeJob Summary: We are seeking a skilled Phlebotomy Specialist to join our team at All Medical Personnel. As a Phlebotomy Specialist, you will be responsible for collecting blood samples from patients in a fast-paced laboratory or hospital setting. Key Responsibilities: Collect and store blood samples according to established procedures Explain the blood...
-
Colorectal Specialist
2 days ago
Wilmington, North Carolina, United States Novant Health Medical Group Full timeSeeking a Colorectal Specialist!Novant Health Medical Group is looking for a skilled Colorectal Specialist to join their team. As a member of our established group, you will provide inpatient and outpatient care to our patients. With a focus on pelvic floor care, you will have the opportunity to work with a supportive administrative team and access to...
-
RN - PCU/Stepdown Specialist
4 weeks ago
Wilmington, North Carolina, United States All Medical Personnel Full timeJob Title: RN - PCU/Stepdown SpecialistJob Summary: We are seeking a skilled RN - PCU/Stepdown Specialist to join our team. The ideal candidate will have 2-3 years of recent telemetry experience and hold certifications in BLS, ACLS, and NIHSS.Responsibilities:* Assist physicians with patient management* Identify irregular telemetry readings and notify the...
-
Medical Laboratory Specialist
1 month ago
Wilmington, North Carolina, United States Claxton-Hepburn Medical Center Full timeJob Opportunity at Claxton-Hepburn Medical CenterWe are seeking a highly skilled Medical Technologist to join our team at Carthage Area Hospital in the Carthage, NY area.Requirements:Bachelor's Degree in Medical Technology, Life Science, or Medical Laboratory ScienceCurrent New York State Clinical Laboratory Technologist LicensureHourly Rate of $37.18Please...
-
Medical Assistant
4 weeks ago
Wilmington, North Carolina, United States UPMC Full timeMedical Assistant - Patient Care SpecialistUPMC Hanover Primary Care is seeking an experienced Medical Assistant to join their team in Hanover. The ideal candidate will have a strong background in patient care and be able to work effectively in a fast-paced environment.Responsibilities:Assist physicians with various aspects of patient care, including...
-
Medical Imaging Specialist
2 weeks ago
Wilmington, North Carolina, United States SCM - Scott Hill Medical Full timeJob OverviewAt SCM - Scott Hill Medical, we are seeking a skilled Magnetic Resonance Imaging professional to join our team. The successful candidate will assist physicians in the performance of diagnostic procedures by preparing patients and safely operating MRI equipment to obtain diagnostic scans. This role is ideal for individuals with a passion for...
-
Traveling Medical Professional
4 weeks ago
Wilmington, North Carolina, United States Fusion Medical Staffing-Nursing Full timeFusion Medical Staffing-Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in a dynamic medical facility.Shift: 12 hours, nights Employment Details Type: Travel Facility Information Facility: Confidential Shift: Nights Call Off Policy: Confidential Type: Travel At Fusion Medical Staffing, our goal is to provide exceptional care and...
Medical Claims Specialist
1 month ago
Wilmington Health is seeking a Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for ensuring prompt collection of the appropriate amount due.
Key Responsibilities:
- Follow-up with carriers regarding outstanding claims as noted on the outstanding invoice report
- File claims that require additional documentation
- Verify benefits as requested by physicians
- Change insurance information as appropriate
- Correspond with carriers for appeals and inquiries
- Communicate insurance regulation changes to supervisors
- Contact patients and carriers to follow-up on denials and termination of coverage
- Respond to telephone calls and review and respond to correspondence
- Process computer refunds due to patients and insurance companies
- Establish payment plans
- Define relationship issues and act as an advocate for referring providers and office staff to cross-functionally resolve outstanding issues with WH and ensure satisfactory resolutions and referral processes
- Work collaboratively with occupational health and corporate wellness to establish integrated strategic business plans to achieve corporate objectives for products and services
Qualifications:
- High school diploma or general education degree (GED)
- 3-5 years' experience in a medical office environment
- or equivalent combination of education and experience
- Full COVID-19 vaccination is required as a condition of employment for all positions with Wilmington Health. Documentation is required prior to orientation.
Preferred Qualifications:
- Experience in Medical Office Administration
- Knowledge of OSHA and DOT regulations
- Experience with urine drug screen collection and breath alcohol tests processes
- BLS/CPR Certified
Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran's status, sexual preference, disability, genetic information, or any other class protected under state or federal law.