AR Precertification Specialist - TOC - HSV

Marshall Medical Centers; Huntsville (AL); On-site; USD 42,000 - 54,000; Full time

Job summary

The Orthopaedic Center in Huntsville, AL, seeks a motivated AR Precertification Specialist for a full-time role averaging 40 hours per week. You will pre-certify patients for visits, tests, and procedures according to insurer requirements and monitor scheduling in the billing system across departments.

Responsibilities include assisting AR, coding, registration and follow-up staff, handling pre-cert requests, and notifying staff about approvals/denials while maintaining confidentiality.

Qualifications

• HS/GED required.
• 3 years insurance and/or billing experience preferred; healthcare experience preferred.
• Knowledge of coding, AR and insurance reimbursement.

Responsibilities

• Pre-certify all patients for office visits, consultations, testing and procedures per insurance requirements.
• Monitor patient schedules in the billing system for each department.
• Assist AR, coding, registration and insurance follow-up staff as needed.
• Answer requests from departments regarding pre-cert requirements for various insurers.
• Notify staff on status of approvals/denials and forward denials for review.
• Maintain strict confidentiality and perform other duties as assigned.

Skills

Ability to work under pressure

Organizational writing skills

Clear concise communication

Independent self-starter

Teamwork attitude

Education

HS/GED

Job description

Overview

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. Reviews pre-cert requirements for insurance companies in a 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 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

AtThe Orthopaedic Center, we are 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.