Accounts Receivable Specialist
Wilmington, DE - USA
Department:
Job Summary
Accounts Receivable Specialist
Behavioral Health
Location: Wilmington NC Coastal Horizons Center Inc.
Full-Time Non-Exempt
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.
- Make an impact by supporting an organization that improves lives every day.
- Join a collaborative team that values accuracy accountability and customer service.
- Work in a stable healthcare environment with opportunities for professional growth.
- Competitive salary and comprehensive benefits package.
- 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.
- High school diploma or GED.
- Two to three years of experience in medical billing and accounts receivable in a behavioral health and primary care billing setting.
- Knowledge of healthcare billing systems insurance processes and reimbursement practices.
- Experience billing with NC Medicare and NC 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.
- 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.
- Ability to perform sedentary work including extended periods of sitting and computer use.
- Ability to occasionally lift or move up to 10 pounds.
- Visual acuity sufficient to review financial records analyze data and operate a computer.
For more than 50 years Coastal Horizons Center Inc. has been dedicated to promoting healthier lives stronger families and safer communities throughout southeastern North Carolina. Our team provides compassionate evidence-based behavioral health crisis intervention child welfare and prevention services that create lasting change for individuals and families.
Required Experience:
IC
About Company
Healthier Lives. Stronger Families. Safer Communities. Coastal Horizons promotes healthier lives, stronger families, and safer communities by providing a broad range of effective, evidence-based substance use, mental health, crisis intervention,…