Registration Coordinator- Precertification

FirstHealth of the Carolinas; Southern Pines (NC); Sur place; USD 42 000 - 64 000; Plein temps

Résumé du poste

FirstHealth of the Carolinas seeks a Precertification/Authorization Specialist to verify insurance precertification and prior authorization for outpatient services. You will ensure requirements are identified and obtained within timeframes to support timely patient care and accurate billing, aligned with payer regulations.

The role emphasizes strong communication, independent work, and the ability to handle multiple tasks in a fast-paced environment while ensuring compliance and accurate

Qualifications

• Knowledge of medical terminology.
• Basic knowledge of computers.
• Prior healthcare or medical office experience.

Connaissances

Communication

Customer service

Independent work

Multitasking

Stress management

Formation

High School graduate

Medical terminology

Computer basics

Healthcare/medical office experience

Description du poste

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