North Carolina Reimbursement Specialist

Job Summary

To support a growing patient population, the full-time North Carolina Reimbursement Specialist will manage patient financial experiences by reviewing out-of-network appointments, coordinating clinical review processes, and providing call center support, all while working remotely from North Carolina.

Key responsibilities

• Review out-of-network patient appointments and coordinate Clinical Review Board processes for approvals and denials
• Provide call center support for patients and healthcare providers, enhancing the patient financial experience
• Conduct audits of workflows and staff performance, delivering training to improve overall departmental efficiency

Required qualifications

• High school diploma or equivalent, preferably with post-secondary courses in Accounting, Finance, or related fields
• Four years of related experience in healthcare; a Bachelor's degree can substitute for experience
• Proficiency in data analysis, billing/collections, and insurance claims management
• Strong skills in Microsoft Office applications, particularly Excel and Access
• Ability to analyze departmental performance indicators and recommend process improvements