TOC- The Orthopaedic Center · 5 months ago
AR Precertification Specialist
Huntsville, AL
Full-time
Onsite
Entry Level
3+ years expTOC- The Orthopaedic Center is seeking an AR Precertification Specialist to manage the pre-certification process for patient visits and procedures. The role involves communicating with insurance companies and maintaining accurate documentation to ensure timely approvals.
Health CareHealth DiagnosticsHospitalMedical
Responsibilities
Pre-certify all patients for office visits, consults, testing, and procedures as required by each patient’s insurance company by monitoring patient schedules in the billing system for each department
Follow insurance company pre-certification requirements for approval, such as calling, faxing, emailing, logging into their system online, etc
Assist accounts receivable, coding, registration, and insurance follow up staff on an as-needed basis
Answer requests from various departments regarding pre-cert requirements for various insurance companies
Reviews pre-cert requirements for insurance companies in timely manner to maintain up-to-date knowledge of requirements
Notifies appropriate staff on status of approval/denials
Forwards denials to manager and appropriate staff for further review and decision making
Maintains strict confidentiality
Performs related work as required
Qualification
Required
HS Diploma/GED required
Coding, AR, Insurance reimbursement knowledge required
Ability to work under pressure and meet deadlines
Outstanding organizational, verbal and writing skills
Independent and highly motivated
Initiative and self-discipline
Proven positive, 'teamwork' attitude in work history
Preferred
Three years insurance and/or billing experience preferred
One year of healthcare experience preferred
Company
TOC- The Orthopaedic Center
Training, research, experience and trust are our hallmarks.
201-500 employees
H1B Sponsorship
TOC- The Orthopaedic Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
Funding
Current Stage
Growth StageLeadership Team
Mark Didier
Chief Executive Officer
Tammy Jackson
Chief Operating Officer
Company data provided by crunchbase