Pre-Cert Coordinator

Pinehurst Medical • West End, NC

7d • Onsite

About The Position

PMC is a recognized healthcare provider in the communities of Moore County, Lee County, Cumberland County, Chatham County, and the surrounding six counties. Locally owned and managed, PMC offers a broad range of primary and specialty care services to the communities we serve. The physicians and healthcare team of professionals at PMC share a commitment to patient-centered care that is physician-led and utilizes the latest advances in medical technology. This combination of leading-edge medicine and deep compassion for the people we serve has been a hallmark of PMC since 1952. PMC consists of over 130 providers, approximately 750 employees, and 16 locations.

As a PMC Precertification Coordinator, you will serve as an essential part of the patient’s experience by providing a personal and unified effort to obtain prior authorization for medical services/procedures. By assisting patients, providers, and staff with questions they might have regarding prior authorization of services/procedures.

Requirements

• High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
• CPT and ICD-10 experience required.

Nice To Haves

• One to two years of experience in a medical office setting is preferred.

Responsibilities

• Obtain prior authorization for scheduled procedures.
• Respond to telephone and written inquiries regarding precertification and insurance-related matters.
• Assists with denial resolutions, with direct participation with management and other staff members.
• Prepare any telephone, written, or online pre-certification requests providing detailed explanations.
• Handle changes in patient information relating to registration information including insurance/guarantor information, as needed as part of the precertification process.
• Document all transactions, telephone contacts, etc. in the individual PMC patient’s account/medical record.
• Being a key piece in the PMC mission by providing the highest quality of care to our patients and the communities we serve.

Benefits

• PMC is proud to support the total health and well-being of our team members so they can thrive personally and professionally. That’s why, as part of the PMC team, you’ll have a package of benefits that covers your health, well-being, family, and future.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED