Pre-Certification & Scheduling Coordinator

Charleston Area Medical Center; Hurricane (WV); On-site; USD 42,000 - 64,000; Full time

Job summary

Charleston Area Medical Center is seeking an Administrative/Clerical professional to manage pre-certification and referrals for returning and new patients, ensuring complete charts and accurate scheduling of tests and surgeries.

You will review insurance requirements, communicate with Medicare and other carriers, and perform clerical duties including correspondence with patients and providers. This role supports front desk and medical assistant functions as needed.

Qualifications

• High school diploma or GED required.
• No certification or license required.
• Experience in administrative/clerical support preferred.

Responsibilities

• Review charts daily to determine pre-certification or referrals required.
• Review patient insurance to determine medical necessity for treatments.
• Communicate with Medicare and other insurers to obtain necessary data.
• Draft letters to patients, insurers and physicians as needed.
• Schedule surgeries and coordinate information with involved parties.
• Coordinate referrals to other physicians after review of results.
• Create new patient accounts in billing software and forward data to the chart.
• Maintain current knowledge of ICD-10, CPT and HCPCS codes.
• Cross-train for front desk and medical assistant tasks.
• Schedule procedures and handle funds collection and deposits.

Skills

Customer service

Communication

Attention to detail

Education

High School Diploma or GED

Job description

Charleston Area Medical Center is seeking an Administrative/Clerical professional to manage pre-certification and referrals for returning and new patients, ensuring complete charts and accurate scheduling of tests and surgeries.

You will review insurance requirements, communicate with Medicare and other carriers, and perform clerical duties including correspondence with patients and providers. This role supports front desk and medical assistant functions as needed.