Patient Financial Advocate — Pre-Cert & Collections (Hybrid)

OrthoCarolina; Charlotte (NC); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Paid holidays

Wellness programs

Tuition reimbursement

Job summary

OrthoCarolina is hiring a Pre-Certification Collection Specialist to join our Utilization Review team in Charlotte. This hybrid role involves extensive coordination between patients, insurers, physicians, and facilities to confirm eligibility and collect payments.

The ideal candidate has experience in insurance verification and authorizations, excellent communication, and a detail-oriented approach to manage accounts and maximize cash flow.

Qualifications

• High School diploma or GED required; higher degree preferred.
• Experience in insurance verification and pre-certification is valuable.
• Strong communication and attention to detail are essential.

Responsibilities

• Verify eligibility and benefits with insurance carriers for scheduled physician/facility visits.
• Pre-collect from patients including unpaid balances and financial responsibility estimates.
• Track accounts from scheduling notifications through authorization and payment collection.
• Identify and correct internal issues to expedite payments from insurers.

Skills

Accounts Receivable (AR)

Customer Service

Data Entry

Documentation

Medical Services

Office Management

Patient Account Management

Patient Care

Payment Analysis

Education

High School or GED

Associate or Bachelor's degree preferred

Job description

OrthoCarolina is hiring a Pre-Certification Collection Specialist to join our Utilization Review team in Charlotte. This hybrid role involves extensive coordination between patients, insurers, physicians, and facilities to confirm eligibility and collect payments.

The ideal candidate has experience in insurance verification and authorizations, excellent communication, and a detail-oriented approach to manage accounts and maximize cash flow.