**Description** Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. **Summary:** + May be responsible for performing a variety of complex duties, including but not limited to, working daily claim edits, outstanding insurance claims having no response from payors, and/or having received claim form related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Review credit balances for possible reallocation or refunds. Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork and reflects UNC Health’s mission and philosophy. **Responsibilities:** + Responsible for all claim edits (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate as needed) to meet and satisfy billing compliance guidelines for electronic submission. Responsible for the accurate and timely submission of claims, response to denials, and re-bills of insurance claims. Responsible for all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, write-offs, refunds, or other methods. Submits requested medical information to insurance carrier. + Responsible for the analysis and necessary corrections of patient accounts as it pertains to clean claim submissions or re-bills. Responsible for maintaining work queues. Access, review and respond to third party correspondence. Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. + Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, and non-payment of claims. Respond to any assigned correspondence in a timely, professional, and complete manner. Identify issues and/or trends and provide suggestions for resolution to management, including payer, system, or escalated account issues. Read and interpret EOB’s (Explanation of Benefits). + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. Accurately and thoroughly document the pertinent collection activity performed. Participate and attend meetings, training seminars and in-services to develop job knowledge. Any other job duties as assigned. + Meets/Exceeds Productivity and Quality standards. **Other information** : **Education Requirements:** ● High School Degree **Licensure/Certification Requirements:** **Professional Experience Requirements:** ● Two (2) years of experience in hospital or physician insurance related activities preferred (Authorization, Billing, Follow-Up, Call-Center, or Collections) **Job Details** Legal Employer: Lenoir Health Entity: UNC Lenoir Health Care Organization Unit: Patient Accounting Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.09 - $20.81 per hour (Minimum to Midpoint ) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: US:NC:Kinston Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.