Patient Accounts Representative; Financial Services

Position Summary

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.

• High School Diploma, GED, or equivalency
• 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

• 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

• 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.
• Must be able and comfortable working in a variety of settings including, but not limited to clinical environments and office spaces.
• Must be able to work nights and weekends as departmental needs arise.

• None

• Communication: Demonstrates strong verbal, written, and digital communication skills; able to clearly explain complex information.
• Judgment & Decision-Making: Provides thoughtful input into operational and program decisions.
• Accountability & Self-Management: Works independently and efficiently, managing multiple responsibilities with minimal supervision.
• Teamwork &
  
  Collaboration:
  
  Builds effective working relationships across teams, departments, and the community.
• Problem-Solving & Initiative: Applies critical thinking and initiative to resolve issues and improve service delivery.

• Delivers high-quality customer service with professionalism and cultural sensitivity.
• Actively listens and communicates clearly across diverse populations.
• Maintains confidentiality and handles sensitive information with discretion.
• Applies knowledge of clinical and administrative standards and institutional policies.
• Manages time effectively, prioritizing tasks and meeting deadlines.
• Demonstrates community awareness and understanding of the population served.
• Projects a professional image and provides leadership when delegating or guiding team efforts.

• Occasionally required to sit, walk, reach, and handle materials.
• May be required to lift or move items up to 25–50 pounds.
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• NA

As part of Kinston Community Health Center’s commitment to ethical practices and regulatory compliance, all employees are expected to:

• Act in accordance with the KCHC Employee Handbook, policies and procedures, and all applicable federal and state laws.
• Promptly report any known or suspected violations of compliance/safety standards.

These responsibilities are essential to maintaining a culture of integrity and accountability across the organization.