Accounts Receivable Specialist

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.

• 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.