Performs complex duties supporting reimbursement from patients and insurance carriers.
This role focuses on patient account resolution, billing support, denials management, insurance follow-up, and reimbursement activities for specialized medical services. Responsibilities include collecting delinquent balances, processing forms and correspondence, researching medical records to support medical necessity, posting payments and denials, reconciling accounts, resolving claim issues, and assisting patients with coverage and payment plan options.
The position may also serve as a lead resource for lower-level staff and support patient accounting operations through data maintenance, account analysis, and communication with patients, physicians, and insurance carriers.
Education
- High school diploma or GED required; higher-level degree may satisfy this requirement.
Experience
- Three years of experience in a clerical, accounting, or customer service setting.
- Preferred experience in insurance or medical intake.
Knowledge and Skills
- Strong knowledge of carrier policies, procedures, and practices.
- Ability to research medical records and support appeals/denial resolution.
- Familiarity with billing, posting, reimbursement, and patient account processes.
- Ability to work with multiple systems and document collection activities accurately.
Location
Durham, North Carolina, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago