PreServices - Precertification

FirstHealth of the Carolinas, Inc.; Brantford; On-site; CAD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Precertification Coordinator to join their team. This role is pivotal in ensuring accurate insurance precertification by reviewing requirements and liaising with payers. The ideal candidate will possess strong communication skills and the ability to multitask in a fast-paced environment. Join a company recognized for its commitment to diversity and excellence, where your contributions will be valued and supported. If you're ready to elevate your career in a meaningful way, this opportunity is perfect for you.

Benefits

Membership to Fitness Centers

Competitive Benefits Package

Qualifications

• Completion of High School or equivalent is mandatory.
• Knowledge of medical terminology is essential.

Responsibilities

• Verify precertifications from internal and external providers.
• Initiate authorizations and verify benefits for services.

Skills

Medical Terminology

Communication Skills

Customer Service

Typing Speed (35-40 wpm)

Organizational Skills

Education

High School Diploma or Equivalent

Tools

Computer Skills

Job description

Overview

Ready to take your career to the next level?

FirstHealth of the Carolinasis a nationally recognized health care system in central North Carolina with headquarters in Pinehurst, N.C. FirstHealth of the Carolinas has been nationally recognized as a top 150 place to work in health care by Becker's Healthcare for two consecutive years. We offer a competitive benefits package including membership to our fitness centers.

The Preservices - Precertification Coordinator is responsible for verifying insurance precertification requirements by reviewing insurance websites or making calls to payers based on hospital contract, payers and CPT codes for scheduled and non-scheduled services and then acting upon the requirements within set timeframes. This position may also involve initiating authorizations and verify benefits. Additional responsibilities as time permits include but are not limited to training team members and assisting in other areas based on workload.

Responsibilities

• Verify precertifications obtained from internal and external providers
• Initiate authorizations
• Verify benefits for service being provided

Qualifications

• Completion of High School or the equivalent
• Knowledge of medical terminology required
• Basic knowledge of computers required
• Previous healthcare or medical office experience required
• Strong communication and customer service skills required.
• Ability to work independently.
• Able to perform several simultaneous tasks in an organized manner.
• Ability to process information quickly and accurately while in a stressful environment.
• Must be able to type 35 to 40 wpm.

FirstHealth values diversity, equity, and inclusion, and works to create a culture of excellence in which all team members feel valued, connected, treated fairly and safe, and where differences are both respected and supported.