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Prior Authorization Coordinator Jobs in Rockingham, NC

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Prior Authorization Coordinator information

See Rockingham, NC salary details

$11

$17

$26

How much do prior authorization coordinator jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for prior authorization coordinator in Rockingham, NC is $17.95, according to ZipRecruiter salary data. Most workers in this role earn between $14.95 and $18.61 per hour, depending on experience, location, and employer.

What is the difference between Prior Authorization Coordinator vs Medical Billing Specialist?

AspectPrior Authorization CoordinatorMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like CPC or CPC-HRequires coding certifications (CPC, CCS) and knowledge of billing procedures
Work EnvironmentHealthcare facilities, insurance companies, or billing companiesMedical offices, hospitals, or billing companies
Employer & Industry UsageUsed in healthcare settings to manage insurance approvalsUsed across healthcare to process and submit claims
Search & Comparison IntentPeople compare roles related to insurance approval processesPeople compare roles related to billing and claims processing

The Prior Authorization Coordinator focuses on obtaining insurance approvals before treatment, ensuring coverage compliance. In contrast, the Medical Billing Specialist handles submitting claims and processing payments after services are rendered. Both roles are essential in healthcare administration but differ in their primary functions and workflows.

What are the key skills and qualifications needed to thrive as a Prior Authorization Coordinator, and why are they important?

To thrive as a Prior Authorization Coordinator, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or a related certification. Familiarity with electronic health records (EHR), insurance portals, and prior authorization management systems is typically required. Attention to detail, organizational skills, and effective communication are essential soft skills for efficiently handling authorization requests and collaborating with providers and insurers. These skills ensure timely approvals, minimize claim denials, and support smooth patient access to prescribed care.

What are Prior Authorization Coordinators?

Prior Authorization Coordinators are healthcare professionals responsible for managing and obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. Their main duties include reviewing patient information, communicating with healthcare providers and insurers, and ensuring all necessary documentation is submitted for timely authorization. They play a crucial role in reducing delays in care and helping patients navigate complex insurance requirements. Strong communication, attention to detail, and knowledge of insurance processes are essential skills for this role.

What are some common challenges faced by Prior Authorization Coordinators, and how can they be managed effectively?

Prior Authorization Coordinators often encounter challenges such as navigating complex insurance requirements, keeping up with frequent policy changes, and managing high volumes of requests. To handle these effectively, coordinators need strong organizational skills, attention to detail, and the ability to communicate clearly with both healthcare providers and insurance representatives. Staying updated on payer guidelines and using electronic health record (EHR) systems efficiently can also streamline the process and reduce delays in patient care.
What job categories do people searching Prior Authorization Coordinator jobs in Rockingham, NC look for? The top searched job categories for Prior Authorization Coordinator jobs in Rockingham, NC are:
What cities near Rockingham, NC are hiring for Prior Authorization Coordinator jobs? Cities near Rockingham, NC with the most Prior Authorization Coordinator job openings:
Prior Authorization Coordinator jobs near you
Infographic showing various Prior Authorization Coordinator job openings in Rockingham, NC as of June 2026, with employment types broken down into 77% Full Time, and 23% Part Time. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $37,328 per year, or $17.9 per hour.
Registration Coordinator- Precertification

Registration Coordinator- Precertification

FirstHealth of the Carolinas

Southern Pines, NC

Other

Posted 25 days ago

FirstHealth of the Carolinas rating

7.2

Company rating: 7.2 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

329th of 870 rated healthcare providers

Job description

Job Title

Insurance Precertification And Prior Authorization Coordinator

Job Description

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

What FirstHealth of the Carolinas employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

FirstHealth logo

About FirstHealth

Sourced by ZipRecruiter

FirstHealth of the Carolinas is a private, Not for Profit Health care Network Headquartered in Pinehurst, NC. Its 6,100 Employees serve 15 counties in the mid Carolinas. Licensed for four hospitals with 610 beds, FirstHealth demonstrates a commitment to treating the whole patient and providing Quality Health care for the entire Community especially those in need. FirstHealth’s organizational culture is guided by its Core Purpose and Core Values and is committed to Patient Safety, Quality and Performance Excellence.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Pinehurst, NC, US

Year founded

1995

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