Registration Coordinator- Precertification

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

About The Position

This position obtains and/or verifies insurance precertification and prior authorization requirements for outpatient diagnostic and procedural services. It uses payer guidelines, hospital contracts, and applicable CPT/HCPCS codes to identify and fulfill authorization requirements within established timeframes, supporting timely patient care, accurate billing, and compliance with payer regulations. Responsibilities may be expanded, modified, or reassigned based on departmental needs and operational priorities. The role is based in a centralized scheduling area and may require flexible hours as departmental demand shifts. The position serves young, middle, and older adults.

Requirements

  • Strong communication and customer service skills.
  • Ability to work independently.
  • Ability to perform several simultaneous tasks in an organized manner.
  • Ability to process information quickly and accurately in a stressful environment.
  • Completion of high school or equivalent.
  • Knowledge of medical terminology.
  • Basic computer knowledge.
  • Previous healthcare or medical office experience.

Responsibilities

  • Obtain and/or verify insurance precertification and prior authorization requirements for outpatient diagnostic and procedural services.
  • Identify, obtain, and act on authorization requirements within established timeframes.
  • Operate and troubleshoot department equipment properly and safely according to policy and procedure.
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