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.

Why Join Coastal Horizons?

• 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.

What You'll Do

Accounts Receivable & Payment Processing

• 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.

Insurance & Claims Management

• 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.

Financial Accuracy & Collaboration

• 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.

What You'll Bring

• High school diploma or GED.
• Two to three years of experience in medical billing or accounts receivable.
• Knowledge of healthcare billing systems, insurance processes, and reimbursement practices.
• Experience billing Commercial, Medicare, and 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.

Preferred Qualifications

• 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.

Physical Requirements

• 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.

About Coastal Horizons Center, Inc.

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.