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:
Responsible for using online tools for benefits, reviewing medical criteria/policy, prior plan approval (PPA) requirements, initiating and obtaining authorizations
Regular
Accounts Receivable (AR), Customer Service, Data Entry, Documentations, Office Management, Patient Account Management, Patient Care, Payment Analysis
