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Healthcare Administration Medical Billing and Coding

Government​/Non-Government Specialist

Job in Goldsboro, Wayne County, North Carolina, 27533, USA
Listing for: UNC REX Healthcare
Full Time position
Listed on 2026-01-12
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 50000 - 65000 USD Yearly USD 50000.00 65000.00 YEAR
Job Description & How to Apply Below

Description

Summary:

The Government-Non-government Specialist is responsible for reviewing, submitting and resolving assigned insurance accounts to an appropriate financial resolution in accordance with regulatory, legal, and compliance guidelines. Processes all assigned government and nongovernment accounts and denials for complex financial appeals, with a goal of bringing the accounts to an appropriate financial resolution in accordance with regulatory, legal, and compliance guidelines. Follows rules for overturning appeals and rejections for these accounts.

Completes additional research and coordinates with other departments, physician offices and insurers. Also performs follow-up responsibilities of a financial counselor. Assists Revenue Cycle Director in maintaining accounts receivables at appropriate levels. Submits insurance claims to the appropriate payers on a daily basis in adherence to applicable regulatory, legal, and compliance guidelines. Assists the Manager and Director in all aspects of claims processing.

Responsibilities
  • Works insurance related billing errors in Epic and SSI.
  • Works accounts from follow up work queues in Epic.
  • Works denials in Epic towards resolution.
  • Coordinates with other teams/departments/payors to resolve account errors.
  • Posts adjustments and write offs as needed.
  • Leverages Lead as a resource to address account issues and questions.
  • Ensures work queues are worked appropriately and timely.
  • Satisfies goals pertaining to audits, productivity and quality standards.
  • Responsible for the accurate and timely submission of claims, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections.
  • Interfaces with internal and external departments to resolve discrepancies through charge corrections, payment corrections, write offs, refunds or other methods.
  • Researches and resolves 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. Contacts patients, providers and insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments, refunds or other methods.
  • Verifies claims adjudication utilizing appropriate resources and applications. Reconciles accounts, researches and resolves a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims.
  • Responds to any assigned correspondence in a timely, professional, and complete manner.
  • Participates and attends meetings, training seminars and in-services to develop job knowledge.
  • Meets or exceeds goals pertaining to productivity and quality expectations.
  • Assists in training teammates within the Government/Non-Government teams.
  • Serves a resource and role model for other teammates in the area.
    • Other information Education

    High School Diploma or equivalent required, any higher education from an accredited college will supersede this requirement.

    Licensure/Certification

    CRCR (Certified Revenue Cycle Representative) certification from HFMA within one year of hire.

    Experience

    Two (2) years prior experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections).

    Knowledge,

    Skills and Abilities
    • Good organizational, follow up and attention to detail skills.
    • Excellent customer service and interpersonal skills.
    • Ability to read, write and communicate effectively in English.
    • Proficient with MS Office, Epic/ EMR software, with the ability to learn new software rapidly.
    Other Qualifiers

    Valid NC Driver’s License:
    No. If driving a Wayne UNC Vehicle, must be 21 years old and MVR must be approved by Risk Management.

    Job Identification

    BO-209

    01.8522.BO-209.NON-CLIN

    Job Details

    Legal

    Employer:

    Wayne Health

    Entity:
    Wayne UNC Health Care

    Organization Unit:
    Patient Accounts

    Work Type:
    Full Time

    Standard Hours Per Week: 30.00

    Work Assignment Type:
    Hybrid

    Work Schedule:

    Day Job

    Location of Job: WAYNE MED

    Exempt From Overtime:
    Exempt:
    No

    Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

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