Job Opportunities API

At   OrthoCarolina , our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization.    OrthoCarolina   has 43 unique care locations with over 1300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit    https://www.orthocarolina.com/about-us We are currently searching for   a   Pre- Certification Collection Specialist   to   join   our   Utilization Review   team   in   the   OrthoCarolina   Business Office in Charlotte . This position is a hybrid schedule with rotating days in the office depending on department needs. The   Pre-Certification Collections Specialist   serves as   liaison   between   the patient , insurance company, physician ,   and facility.  There is a large volume calling patients and insurance companies.  Other duties include: Essential Functions: • Confirming eligibility,   benefits   and precertification with insurance carriers for patient's scheduled with Physician and facility. • Responsible to pre-collect from patients including unpaid, true patient current balance, patient's estimated   financial responsibility   up to and including entire Out of Pocket when necessary. • Responsible   for tracking   the account from notification of scheduled appointment including same day and next day add-ons for authorization as well as pre-collection of patient   financial responsibility . • Responsible   for   identifying   and   correcting   internal problems within assigned accounts to   expedite   payments from insurance companies. • Responsible for using online tools for benefits, reviewing medical criteria/policy, prior plan approval (PPA) requirements,   initiating   and obtaining authorizations Skills and Abilities: • Must have knowledge of physician,   facility   and hospital pre-certification. Employee Type Regular Qualifications Skills Accounts Receivable (AR), Customer Service, Data Entry, Documentations, Office Management, Patient Account Management, Patient Care, Payment Analysis Education Certifications Language Work Experience