Registration Coordinator- Precertification

FirstHealth of the Carolinas, Inc. • Southern Pines, NC

14d • Onsite

About The Position

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.

Requirements

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

Responsibilities

• 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.
• Ensuring all authorization requirements are identified, obtained, and acted upon within established timeframes to support timely patient care, accurate billing, and compliance with payer regulations.
• May be expanded, modified, or reassigned based on departmental needs and operational priorities.

What This Job Offers

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