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.
- 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 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.
- 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.
Skills Required
- 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.
- 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.
What We Do
Coastal Horizons Center, Inc. is a nationally accredited, non-profit human service organization in southeastern North Carolina. Its mission is to promote choices for healthier lives, stronger families, and safer communities through evidence-based professional services. These include substance use and mental health treatment, crisis intervention, primary care, justice, and veteran services, serving over half of the counties in North Carolina.







