OrthoCarolina · 6 hours ago
Pre Certification Collection Specialist
Charlotte, NC
Full-time
Hybrid
New Grad, Entry LevelOrthoCarolina is a healthcare organization with a commitment to excellence and teamwork. They are seeking a Pre-Certification Collection Specialist to serve as a liaison between patients, insurance companies, and healthcare providers, ensuring proper eligibility and benefits verification while managing 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
Qualification
Required
Knowledge of physician, facility and hospital pre-certification
Accounts Receivable (AR)
Customer Service
Data Entry
Documentations
Office Management
Patient Account Management
Patient Care
Payment Analysis
Benefits
Paid company holidays
Wellness programs
Tuition reimbursement
Company
OrthoCarolina
OrthoCarolina is an Medical Practice specializing n ortho.
Founded in 2005
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Paul Neagle, MBA, MHA, PA-C, FACHE
Chief Operating Officer
Alden Milam
Chief Medical Officer
Recent News
2025-11-05
Company data provided by crunchbase