Pre-Certification Coordinator, CEP Orthopedics

CarolinaEast Health System; New Bern (NC); On-site; USD 36,000 - 48,000; Full time

Job summary

CarolinaEast Health System is seeking a Pre-Certification Coordinator to obtain insurance authorization for patient encounters and to deliver the Important Medicare Message to patients. This role supports a seamless pre-certification workflow across departments and helps ensure accurate insurance processing and patient communication.

The position emphasizes strong attention to detail, customer service excellence, and familiarity with medical terminology and insurance processes within a health

Qualifications

• Must be a high school graduate.
• Minimum two years of experience in a health care setting performing related tasks.
• Ability to work with a minimum supervision.
• Attends department and organizational training as required and assigned by supervisor.
• Familiar with medical terminology and healthcare insurance process.
• Ability to prioritize and multitask with a strong attention to detail.
• Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.

Responsibilities

• Obtain insurance authorization for required patient encounters.
• Deliver the Important Medicare Message to patients.
• Coordinate with care teams to ensure smooth pre-certification workflow.

Skills

Medical terminology

Healthcare insurance process

Customer service

Education

High school diploma

Job description

Job Summary:

The Pre-Certification Coordinator obtains insurance authorization for required patient encounters. Additionally, the Pre-Certification Coordinator delivers the Important Medicare Message to the patient.

About CarolinaEast Health System

CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region. At the heart of our system is a 350-bed, full-service medical center equipped with a comprehensive range of inpatient and outpatient services, utilizing the latest medical technologies. We employ over 3,200 dedicated team members and operate physician practices across various specialties in four counties. Our employees foster a culture of excellence that ensures our patients receive the same high level of care found at larger medical centers, all while maintaining a friendly, community-centered atmosphere throughout our facilities. CarolinaEast offers a robust benefits package to all full-time employees, as well as benefits for part-time plus and part-time staff. We are proud to be the first medical center in North Carolina recognized as a Cardiovascular Center of Excellence by the American College of Cardiology and the American Heart Association. Additionally, we are honored to be named one of America’s Best-In-State Hospitals by Newsweek, among numerous other prestigious accolades.

CarolinaEast Physicians is made up of over 150 physicians, and mid-level providers who provide care to patients spanning four eastern North Carolina Counties. We have specialties including Primary Care, Pediatrics, Rheumatology, Cardiology, Pulmonology, Neurology, Podiatry, Endocrinology, Cardiovascular Surgery,Otolaryngology, General Surgery, Oncology, Urology, Physical Medicine and Rehab, Orthopedics, Psychiatry, and Gastroenterology.

Minimum Requirements:

• Must be a high school graduate.
• Minimum two years of experience in a health care setting performing related tasks.
• Ability to work with a minimum supervision.
• Attends department and organizational training as required and assigned by supervisor.
• Familiar with medical terminology and healthcare insurance process.
• Ability to prioritize and multitask with a strong attention to detail.
• Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.