AR Precertification Specialist - TOC - HSV

Huntsville Hospital; Huntsville (AL); On-site; USD 38,000 - 50,000; Full time

Job summary

The Orthopaedic Center in Huntsville, AL seeks a highly motivated AR Precertification Specialist for a full-time role averaging 40 hours per week. You will pre-certify patients for visits, testing, and procedures by verifying insurer requirements and monitoring scheduling in the billing system.

Responsibilities include coordinating with accounts receivable, coding, registration, and insurance follow-up, following insurer procedures, and notifying staff of approval or denial status while

Qualifications

• Must have HS/GED; knowledge of coding, AR, and insurance reimbursement.
• Three years insurance/billing experience preferred.
• Healthcare experience preferred.

Responsibilities

• Pre-certify patients for visits, testing, and procedures per insurer requirements by monitoring schedules in the billing system.
• Follow insurer pre-certification requirements for approval (calling, faxing, emailing, logging in to systems, etc.).
• Assist accounts receivable, coding, registration, and insurance follow-up staff as needed.
• Review pre-cert requirements for insurance companies and keep knowledge up-to-date.
• Notify staff on status of approvals/denials and forward denials for review.

Skills

Attention to detail

Organizational skills

Teamwork

Communication

Ability to work under pressure

Education

HS/GED

Job description

The Orthopaedic Center is looking for a highly motivated AR Precertification Specialist. This opening is a full‑time position averaging 40 hours per week.

The AR Precertification Specialist will pre‑certify all patients for office visits, consultations, 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. Review pre‑cert requirements for insurance companies in a timely manner to maintain up‑to‑date knowledge of requirements. Notify appropriate staff on status of approval/denials. Forward denials to manager and appropriate staff for further review and decision making. Maintain strict confidentiality. Perform other duties as assigned.

Qualifications

Education required: HS/GED

Experience: Coding, AR, insurance reimbursement knowledge required. Three years insurance and/or billing experience preferred. One year of healthcare experience preferred.

Additional Skills/Abilities

• Ability to work under pressure
• Outstanding organizational and writing skills
• Ability to speak clearly and concisely
• Independent, self‑starting and highly motivated
• Proven positive, "teamwork" attitude in work history

About Us

The Orthopaedic Center is proud to be the region’s leading orthopaedic group, dedicated to delivering exceptional patient care. As our team continues to grow, we are seeking motivated professionals who are passionate about excellence, collaboration, and making a difference in the lives of our patients. Join our dynamic and expanding organization and become part of a team committed to outstanding orthopaedic care.