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OrthoCarolina · 3 weeks ago

Pre Certification Collection Specialist

Charlotte, NC

Full-time

Hybrid

New Grad, Entry Level

OrthoCarolina is a healthcare organization with a diverse team dedicated to excellence and teamwork. They are seeking a Pre-Certification Collection Specialist to serve as a liaison between patients, insurance companies, and healthcare providers, responsible for confirming eligibility, benefits, and pre-collecting patient financial responsibilities.

Health CareMedical

Responsibilities

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