Tryon Medical Partners

Independent medical practice prioritizing patient relationships

Insurance Follow-up Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeCharlotte, NC, USANo salary listed

About the Job

Requirements

A minimum of two years of complex claim follow-up experience in a physician office, hospital, ambulatory surgery center, or centralized medical business office is required.
Knowledge of medical terminology, International Classification of Diseases, Tenth Revision (ICD-10), and Current Procedural Terminology (CPT) codes is required.
Intermediate proficiency with Microsoft Word, Outlook, and Excel is required.
Experience working within electronic medical record (EMR) systems is required.
Experience interpreting payer explanations of benefits is required.
A high school diploma or equivalent is required.
The role requires verbal communication skills and a customer-service background.
The role requires the ability to manage time and organize a daily schedule to meet productivity and accuracy standards.
The role requires the ability to walk, stand, sit, lift, reach, stoop, bend, push, and pull, and to lift and support up to 35 pounds.
The role requires concentration on details and use of a computer for long periods.

Responsibilities

Perform daily billing activities to ensure successful processing and payment of claims.
Ensure claim information is complete and accurate for charge entry, and enter key demographic information necessary for insurance claim processing.
Verify patient benefits, eligibility, and coverage to ensure accurate billing.
Audit claims for completeness and accuracy before submission to the claims clearinghouse.
Make necessary claim corrections to resolve payer claim edits and rejections.
Report billing changes, billing issues, and process-improvement plan accomplishments to RCM leadership.
Complete revenue-cycle tasks to resolve patient cases through phone or written communication, process virtual payments and insurance refund requests, research missing payments, process bankruptcy and deceased-patient notifications, and reconcile collection accounts.
Ensure compliance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Perform other duties as required or assigned within the scope of responsibility.

Desired Qualifications

An associate degree in Business or Healthcare Administration, or a related field, is highly preferred.
Experience with AthenaHealth EMR is a plus.

Revenue Cycle- Account Reimbursement Specialist II

Job Summary:

The Account Reimbursement Specialist I (ARS I) is responsible for accurately processing information to ensure accurate and compliant billing for office and hospital procedures. The Revenue Cycle – ARS I researches insurance guidelines and focuses on improving the effectiveness of billing processes. The position requires attention to detail, strong organizational skills, and dependability. This role is vital to the overall financial success for the organization.

(This is a full time position that will support our RCM team at SouthPark Monday to Friday, 8 am to 5 pm)

Primary Job Responsibilities:

Performs daily billing activities to ensure successful processing and payment of claims.
Ensures claim information is complete and accurate for charge entry and data enters key demographic information necessary for insurance claim processing.
Verifies all patient benefits, eligibility, and coverage to ensure accurate billing.
Audits completeness and accuracy of all claims prior to submission to claims clearinghouse.
Make necessary claim corrections to resolve payer claim edits and rejections.
Reports billing changes, billing issues, and process improvement plan accomplishments to RCM Leadership.
Completes tasks in RCM to resolve patient cases (via phone or written communication), process virtual payments, process insurance refund requests, research missing payments, process bankruptcy and deceased patient notifications, and collection account reconciliation.
Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
Performs other duties as required or assigned within the scope of responsibility.

Requirements:

Minimum of two (2) years of complex claim follow-up experience in a physician office, hospital, ambulatory surgery center or centralized medical business office.
Knowledge of medical terminology, ICD-10, and CPT codes.
Excellent computer skills; Intermediate skill with Microsoft Word, Outlook, and Excel.

Experience working within EMR systems. Experience with AthenaHealth EMR is a plus.

Experience interpreting payor explanation of benefits.
Excellent verbal communication skills and strong customer-service background.
Ability to manage time and organize daily schedule to meet productivity and accuracy standards.

Education and Certifications:

High school diploma or equivalent required.
Associate degree in business, healthcare administration or related field highly preferred.

Physical Requirements:

Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
Must be able to lift and support weight of 35 pounds.
Ability to concentrate on details.
Use of computer for long periods of time.

About the Company

Tryon Medical Partners

Independent medical practice prioritizing patient relationships

Tryon Medical Partners is an independent medical practice that focuses on patient-centered primary care. It operates by maintaining a lean, bureaucracy-light structure to allow physicians to connect directly with patients, deliver transparent and accountable care, and offer more choices in healthcare. Rather than selling a product, it provides ongoing medical services through a physician-led network of doctors who emphasis personal relationships as the foundation for better health. The company differentiates itself from competitors by its independence (not part of a larger health system), nimble operations, direct patient contact, and commitment to transparency and patient choice. Its goal is to serve as a trusted healthcare partner that improves health outcomes by strengthening the patient-doctor relationship and offering patients more options in care.

Company size: 51-200
Company stage: Not listed
Total funding: Not listed
Headquarters: Charlotte, NC
Founded: 2018

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