Prior Authorizations

Kernodle Clinic; Burlington (NC); On-site; USD 36,000 - 56,000; Full time

Job summary

Kernodle Clinic in Burlington, NC seeks a full-time Insurance Priority Authorization specialist to support its multi-specialty practice. You will handle high-volume patient information with strong customer service and basic computer skills, including Epic systems knowledge.

The role emphasizes accuracy, confidentiality, and teamwork within the Prior Authorization Department, with standard M-F hours from 8:00 to 5:00 and ongoing collaboration with physicians and staff.

Qualifications

• Must have a high school diploma or equivalent GED.
• Must possess and demonstrate strong customer service skills.
• Must have strong computer skills and be able to handle high volume of patient information.

Responsibilities

• Accountable for physician/consumer relations and customer service activities.
• Communicates and responds to customer needs professionally to build credibility and rapport.

Skills

Customer service

Communication

Detail oriented

Education

High school diploma

Tools

Maestro Care (Epic)

DHIS

eCentaurus

Job description

Full-Time Prior Authorization 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 currently seeking patient-focused individuals for a full-time Insurance Prior Authorization position within our Prior Authorization Department. Must have a high school degree or equivalent GED. Must possess and demonstrate strong customer service skills. Must have strong computer skills and be able to handle high volume of patient information. Knowledge of medical insurance not required, but a preferred plus. Experience preferred but not required. EPIC experience a plus but not required. Schedule would be Monday thru Friday, 8:00 – 5:00 p.m.

Duties Include, but not limited to the following:

• Accountable for physician/consumer relations and customer service activities. Communicates and responds to customer needs in a professional, positive manner building credibility and rapport with all contacts. Customers defined as but not limited to referring physicians and their staff, patients, consumers, co-workers, Duke faculty and staff, other employees within the health system.
• Employs a systematic approach in problem solving; makes decisions based on thoughtful analysis of the situation, an evaluation of the alternatives. Provides documentation as needed.
• Maintains customer focus in stressful situations and exercises respect and patient confidentiality at all times.
• Demonstrates professional telephone technique with strong focus on communication style and knowledge of Duke Medicine to include its partners and affiliates.
• Participates in the training of new employees.
• Utilizes the computer systems Maestro Care (Epic), DHIS and eCentaurus according to departmental protocols to include accurate data entry and retrieval of information for reporting purposes.

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