PreServices - Precertification

Ready to take your career to the next level?

FirstHealth of the Carolinas is a nationally recognized health care system in central North Carolina with headquarters in Pinehurst, N.C. FirstHealth of the Carolinas has been nationally recognized as a top 150 place to work in health care by Becker's Healthcare for two consecutive years. We offer a competitive benefits package including membership to our fitness centers.

The Preservices - Precertification Coordinator is responsible for verifying insurance precertification requirements by reviewing insurance websites or making calls to payers based on hospital contract, payers and CPT codes for scheduled and non-scheduled services and then acting upon the requirements within set timeframes. This position may also involve initiating authorizations and verify benefits.  Additional responsibilities as time permits include but are not limited to training team members and assisting in other areas based on workload.

• Verify precertifications obtained from internal and external providers
• Initiate authorizations
• Verify benefits for service being provided

• 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.
• Must be able to type 35 to 40 wpm.

FirstHealth values diversity, equity, and inclusion, and works to create a culture of excellence in which all team members feel valued, connected, treated fairly and safe, and where differences are both respected and supported.