Insurance Advisor

4 weeks ago


Wilmington, North Carolina, United States Wilmington Health Full time
About Wilmington Health

Wilmington Health is a multi-specialty medical practice committed to providing high-quality care to our community in Wilmington and Southeastern North Carolina. Our comprehensive approach to patient care is built on collaborative, evidence-based medicine.

Purpose and Responsibilities

The Insurance Advisor ensures the prompt collection of the appropriate amount due by performing the following essential duties:

  • 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 necessary.
  • 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 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 resolve outstanding issues with WH and ensure satisfactory resolutions.
  • Work collaboratively with occupational health and corporate wellness to establish integrated strategic business plans to achieve corporate objectives for products and services.
Qualifications

Required:

  • 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.

Preferred:

  • Experience in Medical Office Administration.
  • Knowledge of OSHA and DOT regulations.
  • Experience with urine drug screen collection and breath alcohol tests processes.
  • BLS/CPR certification.
Equal Opportunity Employer

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.


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