OrthoCarolina
Utilization Review Collection Specialist
OrthoCarolina, Charlotte, North Carolina, United States, 28202
locations
Charlotte, NC
time type
Full time
posted on
Posted Yesterday
job requisition id
R7087
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
Education
A.A (Required), A.S (Required), B.A., B.S.
Certifications
Language
Work Experience
Healthcare Experience
Charlotte, NC
time type
Full time
posted on
Posted Yesterday
job requisition id
R7087
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
Education
A.A (Required), A.S (Required), B.A., B.S.
Certifications
Language
Work Experience
Healthcare Experience