Job DetailsJob Location: North Carolina - Charlotte, NC 28210Position Type: Full TimePrimary Objective The Precertification and Financial Collection Specialist plays a critical role in healthcare administration by ensuring that financial collections are conducted efficiently and professionally. This position requires close coordination with providers, patients, and pre-cert teams to confirm coverage and secure payment prior to services being rendered. Essential Functions Communicate with patients regarding their financial obligations and provide guidance on payment options. Coordinate with billing and clinical staff to ensure accurate documentation and timely collections. Communicating with providers office when patient is not able to meet financial obligation for guidance. Work and Maintain Good Faith estimate work queue Provide backup for team members as needed to assist with referral backlogs Skills and Abilities Strong attention to detail and organizational skills. Excellent communication and customer service abilities. Knowledge of insurance guidelines, medical terminology, and billing procedures. Proficiency with healthcare management software (EPIC) preferred Ability to work independently and collaboratively in a fast-paced environment. Core Competencies Attention to Detail Multi-Tasking & Adaptability Critical Thinking Follow up Clinical Competencies N/A Training Period 90 days of training within Epic Accountability Our mission is to be the premier eye, ear, nose, and throat group providing comprehensive, quality, and ethical healthcare to all in the Carolinas; to provide a favorable environment for the delivery of healthcare; and to provide for the wellbeing of the physicians and the employees of Charlotte Eye Ear Nose & Throat Associates, P.A. Work Environment The work environment characteristics described are representative of those an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is remote, so employee should have discipline to work alone and have a dedicated workspace with highspeed internet which offers HIPAA compliance and room for two monitors. Supervisory Responsibilities N/A Position Type and Expected Hours of Work Full-time 40-hour weekly position. The hours may range between 7:00a.m. and 6:00p.m. Physical, Mental and Other Requirements The physical and mental demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Demands: Sitting and working on a computer for extended periods of time. Ability to wear a headset for telephone usage and team meetings Mental Demands: Ability to work alone, problem solve and work at a high pace. Other Requirements: Active & Current Driver’s license Clean driving record Consistent and Reliable Transportation Polite and professional disposition Travel Travel is not required for this position, except when training or occasional in-person staff meetings Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. In addition to those essential functions identified above, individuals in this position are also responsible for performing other duties or tasks that may be assigned. CEENTA retains the discretion to add or change the essential job functions of this position at any time without notice. A Typical Day in the Position The Precertification Specialist is responsible for obtaining prior authorizations for all scheduled surgical, DME, allergy, V&S, and radiology orders by successfully completing the approved authorization process for all payers. Typical responsibilities include but are not limited to: monitoring assigned work queues, contacting payers, contacting patients about any pre-service payments, address emails/in-baskets, address voicemails, scanned faxes, communicating as needed with provider offices. The Pre-certification specialist should be able to work independently and solve routine type issues, but when potential systemic issues are noted, these should be reported to the Precertification Team Supervisor.QualificationsEducation High school diploma or GED Experience 2 years of medical field experience At least 1 year of pre-certification experience preferred Epic experience preferred but not required Certificates, Licenses, Registrations N/A

Our Benefits - Comprehensive Health Coverage: Medical, dental, and vision plans to keep you and your family healthy. - Competitive Pay & Full Benefits: A salary and package designed to reward your expertise and dedication. - Paid time off - Flexible scheduling - Future Security: 401(k) with matching. Job Summary The Collections Specialist I is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations. Essential Functions - Performs follow-up on outstanding insurance balances within the required timeframe, obtaining payment confirmation or required documentation. - Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process. - Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication. - Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information. - Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts. - Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances. - Ensures proper application of account dispositions and follows self-pay policies and procedures. - Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards. - Performs other duties as assigned. - Maintains regular and reliable attendance. - Complies with all policies and standards. Qualifications - H.S. Diploma or GED required - Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred - 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required - Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred Knowledge, Skills and Abilities - Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution. - Proficiency in electronic medical record (EMR) systems, patient accounting systems, and collections software. - Knowledge of insurance contracts, denials management, and accounts receivable workflows. - Excellent problem-solving and analytical skills to research and resolve outstanding claims. - Effective verbal and written communication skills to interact with insurance payers, patients, and internal teams. - Strong attention to detail with the ability to document account activity accurately. - Ability to work independently in a fast-paced environment while meeting productivity and quality standards. - Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable healthcare finance laws. We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.

• Perform accurate and timely data entry as part of daily operational support • Manage all client interactions through email correspondence • Manage a portfolio of overdue accounts and follow up on outstanding balances • Engage with clients to support resolution of unpaid accounts • Negotiate realistic and sustainable payment arrangements • Handle objections with confidence while maintaining professionalism • Monitor and track payment commitments to ensure follow-through • Maintain accurate and up-to-date records of all interactions and agreements • Work towards and consistently meet recovery and call performance targets • Ensure all activities comply with relevant policies and regulatory requirements • Training will be provided as part of employment

• Manage client accounts through inbound and outbound communication channels (phone, email, letters). • Engage with clients to understand their circumstances and agree appropriate repayment solutions. • Resolve assigned cases through standard processes, ensuring timely and accurate outcomes. • Maintain a professional, empathetic, and customer-focused approach in all interactions. • Work to agreed treatment strategies, policies, and processes to deliver consistent outcomes. • Meet individual productivity, quality, and compliance targets. • Maintain accurate and complete case notes, records, and documentation. • Escalate complex, sensitive, or vulnerable cases appropriately to Senior Case Officials or Team Leaders. • Adhere to Debt Management Policy, Client Vulnerability Policy, Data-Protection Policy and standards, and complaints procedures as well as our IVC Code of Responsibility. • Identify and flag potential vulnerability indicators and follow agreed support processes. • Participate in quality assurance activities and respond positively to feedback and coaching. • Maintain auditable records and follow required controls and procedures. • Participate in training, coaching, and team development activities. • Contribute to a positive team culture focused on accountability, learning, and continuous improvement. • Share feedback and ideas to improve client experience and operational effectiveness.