Patient Accounting

Kernodle Clinic

  • Burlington, North Carolina
  • 3 days ago

    Highlights

    This role is responsible for ensuring timey filing and accurate follow-up on outstanding claims to maximize reimbursement and reduce accounts receivable. We are seeking a detail oriented and proactive Full-Time Insurance Follow Up Specialist to join our Patient Accounting team at our Burlington Kernodle Clinic location.

    Numbers & Facts

    LocationBurlington, North Carolina
    Websitehttps://www.kernodle.com/careers/

    Description

    Patient Accounting 
     
    Patient Accounting Insurance Follow Up Specialist – Full Time Position for Busy Multi-Specialist Clinic, located in Burlington, NC.
     
    Kernodle Clinic is a respected and progressive multi-specialty group practice with Clinics in Burlington, Mebane and Elon. We are a community leader that offers challenging and rewarding opportunities for our employees. Kernodle Clinic is a multi-specialty practice with more than 100 providers located just off I-40/I-85. Burlington is accessible as a day trip to NC mountains and beaches. Ample recreational activities, shopping, and easy access to metros (Greensboro, Raleigh and Durham) are unique to Burlington.
     
    We are seeking a detail oriented and proactive Full-Time Insurance Follow Up Specialist to join our Patient Accounting team at our Burlington Kernodle Clinic location.  This role is responsible for ensuring timey filing and accurate follow-up on outstanding claims to maximize reimbursement and reduce accounts receivable. The ideal candidate will have a strong understanding of healthcare billing, insurance processes and excellent communication skills.  Familiarity with EPIC is a plus but not necessary. The regular schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.
     
    We are seeking candidates with:
    • Strong customer service skills
    • Experience with denial management and appeals
    • Proficiency in computer use
    • Understanding of CPT, ICD-10 and HCPCS Coding
    • The ability to multitask in a fast-paced environment
     
    Preferred Qualifications:
    • High school diploma or equivalent 
    • Minimum of two years of experience in medical billing and insurance follow-up 
    • Knowledge of insurance guidelines (Medicare, Medicaid, Commercial payers)
    • Familiarity with EPIC
    • Strong analytical, organizational and communication skills
    • Ability to work independently and manage time effectively
     
    Duties Include, but not limited to the following:
    • Review and analyze outstanding insurance claims using follow up work queues
    • Contact insurance companies via phone, email or online portals to resolve claim issues and secure payment
    • Investigate and resolve denied claims by submitting appeals or corrected claims as needed.
    • Document all follow-up activities and communications in the patient accounting system.
    • Collaborate with coding and registration teams to resolve discrepancies or missing information.
    • Demonstrates a working knowledge of all types of insurance as well as managed care and PPO products
    • Patiently and clearly explains Clinic policies and procedures including billing and insurance filing procedures.
    • Provide customer service duties regarding patient concerns or questions regarding account balances, insurance claims and monthly statements.
    • Recognizes and records changes in patient insurance information as well as demographic and financial information.
    • Meet departmental productivity and quality standards

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