Utilization Review Specialist MRI

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 an promote and 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 Utilization Review Specialist MRI to join our Utilization Review Support team in the OrthoCarolina Business Office in Charlotte.

The UR Precertification Collections Specialist confirms the eligibility, benefits, precertification and pre-collect for all commercial and self-pay patients. Pre-collections will include unpaid, true patient current balance, and patient's estimated financial responsibility for procedures. Identifies and corrects internal problems within assigned accounts to expedite payments from insurance companies. This position serves as liaison between patient, insurance company, physician and facility. The position involves a large volume calling patients and insurance companies. Other duties may include:

Works off daily report of scheduled MRI procedures.

Verifies insurance and benefits for scheduled procedures.

Obtains insurance authorization when needed.

Calculates the patient’s portion at contracted rate using benefits provided by the insurance company.

Communicates with patient regarding their benefits and the estimated patient portion due for procedure including outstanding balances.

Ensures information in practice management system is correct.

A career at OrthoCarolina will provide you with opportunities for career advancement, dedicated peer support, and continuing education. Our company is committed to providing our employees with the utmost positive work environment. Benefits offered include:

Competitive salary package

Health, Dental, and Vision insurance

Health Savings Account

Life insurance

Short/Long term disability insurance

Tuition Reimbursement

Voluntary Home/Auto insurance

Voluntary Accident/Cancer insurance

Voluntary Legal Shield/Identity Theft

401(k) retirement plan

Profit sharing plan

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.

Employee TypeRegular

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R5961