Patient Accounts Representative (Financial Services)

Kinston Community Health•Kinston, NC

20h

About The Position

The Patient Accounts Representative supports the financial operations of Kinston Community Health Center by ensuring accurate patient billing, insurance verification, claim follow-up, and payment processing. This role serves as a key liaison between patients, providers, and payers to promote timely reimbursement, financial transparency, and a positive patient experience. The position requires strong attention to detail, effective communication, and adherence to regulatory and organizational standards.

Requirements

High School Diploma, GED, or equivalency
2+ years of related experience preferable in a clinical setting
Experience and/or training in billing and charge entry
Strong organizational and analytical abilities
Proficient in Microsoft Office Suite

Nice To Haves

Associates degree in medical or billing program preferred
Certified Coder from the American Health Information Management Association and/or American Academy of Professional Coders preferred

Responsibilities

Perform daily financial preparation activities, including verification of patient insurance coverage.
Generate and review Good Faith Estimates (GFEs) and related daily reports.
Monitor and manage credit balances in accordance with established procedures.
Review unbilled accounts and coordinate with providers to resolve outstanding charges.
Review and analyze aging reports to ensure timely follow-up and resolution.
Identify and address kept appointments with no charge, collaborating with providers as needed.
Generate and review bad debt reports and address accounts according to KCHC protocols.
Process refund request letters received from insurance payers in a timely and accurate manner.
Review claim status for accuracy and completeness to ensure appropriate and timely payment.
Submit denied electronic claims via mail for payment approval, ensuring correct CPT and ICD-9/ICD-10 coding prior to submission.
Prepare correspondence for patients and/or insurance companies explaining claim denials or payment issues.
Prepare Medicaid itemized statements as requested by the Department of Social Services or patients.
Batch and reconcile posted charges and payments.
Maintain accurate records of all incoming checks and payments for medical services.
Attend required trainings related to Medicaid, billing regulations, and other relevant seminars.
Maintain a professional appearance, demeanor, and commitment to excellent customer service.
Adhere to all federal regulations, including HIPAA, as well as KCHC policies and procedures.
Perform other duties as assigned.