Accounts Receivable Insurance Analyst
Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don’t have to travel far for excellent care. Our patients experience the convenience of in-clinic chemotherapy treatments, as well as the treatment and management of blood disorders. Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve. Job Description: Accounts Receivable Insurance Analyst Organization: Carolina Oncology Specialists Location: Remote Charlotte, NC Department: Revenue Cycle Manager Reports To: RCM Manager Position Summary The Accounts Receivable (AR) Insurance Analyst is responsible for managing and resolving outstanding insurance balances to ensure timely and accurate reimbursement for services rendered. This role focuses on analyzing payer activity, identifying reimbursement discrepancies, and driving resolution of denied or underpaid claims to support optimal revenue cycle performance at Carolina Oncology Specialists.
Key Responsibilities
Review and analyze insurance accounts receivable to identify unpaid, underpaid, or denied claims. Investigate and resolve claim denials by reviewing payer policies, coding, and documentation requirements. Submit and track appeals to insurance companies, ensuring timely follow-up and resolution. Work payer-specific work queues to address aging accounts and reduce days in AR. Analyze trends in denials and underpayments, escalating systemic issues to leadership. Collaborate with coding, billing, and clinical teams to resolve claim errors and prevent future issues. Verify payer reimbursement accuracy based on contractual agreements. Maintain thorough and accurate documentation of all account activity, follow-up efforts, and resolutions. Communicate with insurance representatives to obtain claim status, clarify reimbursement issues, and expedite payments. Assist in identifying process improvement opportunities to enhance revenue cycle efficiency. Support reporting efforts related to AR performance, denial trends, and payer behavior. Ensure compliance with all regulatory and payer guidelines.
Required Qualifications
High school diploma or equivalent required; Associate’s or Bachelor’s degree in Healthcare Administration, Finance, or related field preferred. Minimum of 2–4 years of experience in medical billing, insurance follow-up, or accounts receivable within a healthcare setting. Strong knowledge of insurance claim processing, EOBs/ERAs, denial management, and payer requirements. Familiarity with CPT, ICD-10, and HCPCS coding concepts. Experience working with practice management systems and Microsoft Excel. Strong analytical, problem-solving, and critical thinking skills. Excellent attention to detail and organizational abilities. Effective communication skills, both written and verbal.
Preferred Qualifications
Experience in oncology or other specialty practice environments. Knowledge of payer contracts and reimbursement methodologies. Experience with appeals and escalation processes for complex claims. Understanding of regulatory requirements affecting healthcare revenue cycle operations. Key Competencies Analytical Thinking Problem Resolution Attention to Detail Accountability & Follow-Through Communication & Collaboration Time Management Working Conditions Primarily office-based with prolonged computer use. May require extended hours to meet deadlines or reduce AR backlog