Pre-Certification Coordinator: Patient Access & Medicare

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

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