Patient Accounting

Kernodle Clinic; Burlington (NC); On-site; USD 25,000 - 39,000; Full time

Job summary

Kernodle Clinic in Burlington, NC seeks a detail-oriented Full-Time Insurance Follow Up Specialist to join our Patient Accounting team. You will ensure timely filing and accurate follow-up on outstanding claims to maximize reimbursement and reduce accounts receivable.

The ideal candidate understands healthcare billing, insurance processes, and communicates clearly with insurers and patients. Experience with denial management and appeals is preferred; EPIC familiarity is a plus.

Qualifications

• Minimum of two years of medical billing and insurance follow-up experience.
• Knowledge of Medicare, Medicaid and commercial payers.
• Familiarity with EPIC.
• Strong analytical, organizational and communication skills.
• Ability to work independently and manage time effectively.

Responsibilities

• Review and analyze outstanding insurance claims and follow up.
• Contact insurance companies via phone, email or online portals to resolve 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.
• Explain Clinic policies and procedures including billing and insurance filing procedures to patients.
• Meet departmental productivity and quality standards.

Skills

Customer service

Denial management

Communication skills

Multitasking

CPT/ICD-10/HCPCS

EPIC familiarity

Computer proficiency

Education

High school diploma or equivalent

Tools

EPIC

Job description

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