Utilization Review Collection Specialist MRI- Hybrid Schedule

At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty and mutual respect; ensuring our voice is heard. Our positive environment supports individual growth and a sense of belonging. Our employees work together to uphold the standards of excellence and promote an environment of teamwork throughout the organization.

If these attributes align with the job culture you are seeking - then OrthoCarolina might be the right fit for you!

We are currently searching for a UR Collection Specialist-MRI to join our Utilization Review Support team in the OrthoCarolina Business Office in Charlotte.

This position is a hybrid schedule with rotating days in the office depending on department needs.

The UR Collection Specialist-MRI obtains and confirms patient eligibility, benefit verification, prior plan approval and pre-collection for medical services to ensure prompt and accurate payments from patient and insurance company. This role requires vast knowledge of how insurance plans work, on line benefit verification processes, prior plan approval requirements and understanding patient benefits to determine accurate deposit amount. The UR Collection Specialist Identifies and corrects internal problems within assigned accounts to expedite payments from insurance companies. Serves as liaison between patient and insurance companies.

This position has a large volume calling patients and insurance companies and must be comfortable talking to patients regarding financial matters. Duties can include:

• Obtains eligibility, benefits and prior plan approvals from insurance carriers
• Pre-collects for medical services
• Takes patient's calls related to financial accounts
• Works closely with patients and insurance companies to get accounts paid
• Answers patient and insurance correspondence
• Provides insurance company representative with information needed to receive payment on accounts
• Posts patient payments and/or adjustments to the proper patient account
• Identifies overpayments on accounts and ensures that refunds are executed promptly

OrthoCarolina is one of the nation's leading independent academic orthopedics practices serving North and South Carolina and the Southeast since 1922. OrthoCarolina provides compassionate and comprehensive musculoskeletal care including operative and non-operative care, diagnostic imaging and rehabilitative therapy. Widely known for musculoskeletal research and training, OrthoCarolina physicians have specialized expertise in foot and ankle, hip and knee, shoulder and elbow, spine, sports medicine, hand, pediatric orthopedics, and physical medicine and rehabilitation. We commit to improving the lives of all we serve, by providing premier patient care and compassionate, personalized service. Over 300 OrthoCarolina providers see more than one million patient visits throughout western North Carolina each year.

OrthoCarolina. You. Improved.

Employee Type
Regular

Qualifications
Skills
Education
High SchoolCertifications
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