Insurance Precertification & Authorization Specialist

FirstHealth of the Carolinas; Midtown (NC); Vor Ort; USD 36.000 - 48.000; Vollzeit

Zusammenfassung

FirstHealth of the Carolinas is seeking a detail-oriented professional to manage insurance precertification and prior authorization for outpatient services. The role ensures all authorizations are identified, obtained, and acted upon within payer timelines to support timely patient care and accurate billing.

Responsibilities include strong communication, independent work, and proficiency with medical terminology and basic computer systems.

Qualifikationen

• High school diploma or equivalent.
• Knowledge of medical terminology.
• Basic computer skills.
• Previous healthcare or medical office experience.

Aufgaben

• Obtain and verify insurance precertification and prior authorization for outpatient services.
• Ensure authorization requirements are identified, obtained, and acted upon within required timeframes for compliant billing.
• Coordinate with departments, patients, and payers to support timely patient care and accurate billing.

Kenntnisse

Communication

Customer service

Medical terminology

Independent work

Ausbildung

High School diploma or equivalent

Jobbeschreibung

FirstHealth of the Carolinas is seeking a detail-oriented professional to manage insurance precertification and prior authorization for outpatient services. The role ensures all authorizations are identified, obtained, and acted upon within payer timelines to support timely patient care and accurate billing.

Responsibilities include strong communication, independent work, and proficiency with medical terminology and basic computer systems.