Accounts Receivable Specialist

Coastal Horizons Center•Wilmington, NC

33d•Onsite

About The Position

At Coastal Horizons Center, Inc., our financial team plays a vital role in supporting the delivery of quality behavioral health services throughout southeastern North Carolina. We are seeking a detail-oriented Accounts Receivable Specialist to help ensure our billing and payment processes are accurate, timely, and compliant. If you enjoy problem-solving, working with financial data, and collaborating with both clinical and administrative teams, this is an excellent opportunity to join an organization dedicated to making a difference in our community.

Requirements

High school diploma or GED.
Two to three years of experience in medical billing or accounts receivable.
Knowledge of healthcare billing systems, insurance processes, and reimbursement practices.
Experience billing Commercial, Medicare, and Medicaid insurance plans.
Familiarity with DSM and ICD-10 coding.
Working knowledge of billing and insurance terminology.
Strong analytical, organizational, and problem-solving skills.
Proficiency with Microsoft Excel and Microsoft Office applications.
Ability to learn and effectively use electronic medical record and billing software.

Nice To Haves

Experience working in behavioral healthcare or a multi-specialty medical practice.
Experience with electronic medical record (EMR) systems.
Knowledge of cash management and payment reconciliation processes.
Experience resolving insurance denials and claim edits.

Responsibilities

Process and post payments accurately and efficiently.
Verify, classify, compute, and record accounts receivable transactions.
Maintain accurate accounts receivable records and ensure financial data integrity.
Reconcile billing accounts with the accounts receivable ledger to ensure payments are properly applied.
Review clinical documentation to ensure claims are complete and accurate.
Communicate with clinical staff to resolve documentation issues affecting reimbursement.
Reprocess claims within the electronic medical record (EMR) and payer portals to support timely payment.
Work directly with Commercial, Medicare, and Medicaid payers to resolve billing issues.
Reconcile claims regularly to verify successful claim submission and payment.
Maintain compliance with billing policies, procedures, and regulatory requirements.
Support continuous improvement of billing processes and workflows.
Collaborate with team members to promote a positive, customer-focused work environment.
Perform additional billing and administrative duties as assigned.