Patient Accounting

Insurance Follow Up/Coding 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 skilled and detail-oriented Full-Time Denials Specialist with expertise in medical coding and insurance follow up to manage and resolve denied claims. The role is critical to ensuring accurate coding, timely appeals and optimal reimbursement from payers. The ideal candidate will have a strong understanding of healthcare billing & coding, 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 Strong understanding of CPT, ICD-10 and HCPCS Coding (Coding Certification preferred) The ability to multitask in a fast-paced environment Basic understanding or and knowledge of health insurance plans, policies and procedures 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, Medicare Advantage Plans, Medicaid, Commercial payers, Worker’s Compensation, Government Plans) ICD 10/CPT Coding Certification 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 Analyze denied claims to determine root causes and ensure coding compliance Contact insurance companies via phone, email or online portals to resolve claim issues and secure payment Identify coding errors that may have led to claim denials Review clinical documentation to ensure accurate ICD10, CPT and HCPCS coding Stay current with coding guidelines and payer specific rules Document all follow-up activities and communications in the patient accounting system. Collaborate with coding and registration teams to resolve discrepancies or missing information. Demonstrate a working knowledge of all types of insurance as well as managed care and PPO products Patiently and clearly explain 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. Recognize and record changes in patient insurance information as well as demographic and financial information. Meet departmental productivity and quality standards Kernodle Clinic is an Equal Opportunity Employer and welcomes applications from diverse candidates.

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