ABOUT WILMINGTON HEALTH

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

PURPOSE:

Ensures prompt collection of the appropriate amount due

ESSENTIAL DUTIES/RESPONSIBILITIES:

• Follow-up with carrier regarding outstanding claims as noted on the outstanding invoice report
• File claims that require additional documentation
• Verify benefits as requested by physician
• Change insurance information as appropriate
• Correspond to carrier for such things as appeals and or inquiries
• Communicate all insurance regulation changes to supervisor
• Contact patient and or carrier to follow-up on denials and termination of coverage
• Respond to telephone calls; review and respond to correspondence
• Process computer refunds due patients and insurance companies
• Establish payment plans

OTHER DUTIES:

• As assigned by manager

QUALIFICATIONS

REQUIRED:

• High school diploma or general education degree (GED)
• 3-5 years' experience in a medical office environment
• or equivalent combination of education and experience

PREFERRED:     

ADA PHYSICAL DEMANDS:

Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

PHYSICAL DEMAND

REQUIRED?

FREQUENCY

Standing

Occasionally

Sitting

Continuously

Walking

Occasionally

Kneeling/Crouching

Rarely

Lifting

Rarely

Required Skills

INSURANCE ADVISOR COMPETENCIES

GENERAL

1. Customer Service
2. Professionalism/Integrity/Responsibility
3. Teamwork/Process Focus
4. Dependability/Punctuality
5. Interpersonal Relationships/Communication
6. Judgment/Decision Making/Problem Solving
7. Quality/Quantity
8. Initiative
9. Safety/Housekeeping
10. Organizational Skills/Time Management

Required Experience

INSURANCE ADVISOR COMPETENCIES

GENERAL

1. Customer Service
2. Professionalism/Integrity/Responsibility
3. Teamwork/Process Focus
4. Dependability/Punctuality
5. Interpersonal Relationships/Communication
6. Judgment/Decision Making/Problem Solving
7. Quality/Quantity
8. Initiative
9. Safety/Housekeeping
10. Organizational Skills/Time Management