Registration Coordinator- Precertification

Firsthealth-of-the-Carolina; Midtown (NC); Presencial; USD 36.000 - 48.000; Jornada completa

Descripción de la vacante

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.

Formación

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

Responsabilidades

• 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.

Conocimientos

Communication

Customer service

Medical terminology

Independent work

Educación

High School diploma or equivalent

Descripción del empleo

Overview

JOB SUMMARY: This position is responsible for obtaining and/or verifying insurance precertification and prior authorization requirements for outpatient diagnostic and procedural services based on payer guidelines, hospital contracts, and applicable CPT/HCPCS codes. This role ensures all authorization requirements are identified, obtained, and acted upon within established timeframes to support timely patient care, accurate billing, and compliance with payer regulations. Responsibilities may be expanded, modified, or reassigned based on departmental needs and operational priorities.

Responsibilities

ADDITIONAL SKILLS: 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.

WORKING CONDITIONS: Centralized scheduling area. May be required to flex hours as the department demand shifts.

PHYSICAL REQUIREMENTS: Ability to communicate with other individuals; good visual acuity and manual dexterity; ability to perform repetitive tasks; ability to sit for long periods of time.

AGE GROUP SERVED: Young, middle and older adults.

ESSENTIAL EQUIPMENT: Able to operate and troubleshoot all department equipment properly and safely according to policy and procedure: fax machine, copier, personal computer, telephone and answering system, laser jet printer as well as any other applicable equipment not listed or as required.

Qualifications

QUALIFICATIONS: The following or equivalents are the minimum requirements to perform the essential functions of this position:

EDUCATION:

• Completion of High School or the equivalent
• Knowledge of medical terminology required
• Basic knowledge of computers required
• Previous healthcare or medical office experience required