Pre-Cert Coordinator
West End, NC · On-site
A day in the life of a PMC Precertification Coordinator may include ... Obtain prior authorization for scheduled procedures. * Respond to telephone and written inquiries ...
Quick apply
Pre-Cert Coordinator
West End, NC · On-site
A day in the life of a PMC Precertification Coordinator may include ... Obtain prior authorization for scheduled procedures. * Respond to telephone and written inquiries ...
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 ...
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 ...
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 ...
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 ...
Medical Coordinator
Pinehurst, NC · On-site
... Authorization * Verify insurance eligibility and benefits prior to scheduling * Assess referral ... Provide coverage for the Surgical Coordinator as needed Administrative & Operational Support
Medical Coordinator
Pinehurst, NC · On-site
... Authorization * Verify insurance eligibility and benefits prior to scheduling * Assess referral ... Provide coverage for the Surgical Coordinator as needed Administrative & Operational Support
Medical Coordinator
Pinehurst, NC · On-site
... Authorization * Verify insurance eligibility and benefits prior to scheduling * Assess referral ... Provide coverage for the Surgical Coordinator as needed Administrative & Operational Support
Medical Coordinator
Pinehurst, NC · On-site
... Authorization * Verify insurance eligibility and benefits prior to scheduling * Assess referral ... Provide coverage for the Surgical Coordinator as needed Administrative & Operational Support
Medical Coordinator
Pinehurst, NC · On-site
Verify eligibility and benefits prior to scheduling * Complete pre-certifications and communication ... Demonstrated knowledge of insurance verification and authorization requirements * Proficiency in ...
Medical Coordinator
Pinehurst, NC · On-site
Verify eligibility and benefits prior to scheduling * Complete pre-certifications and communication ... Demonstrated knowledge of insurance verification and authorization requirements * Proficiency in ...
Medical Coordinator
Pinehurst, NC · On-site
Verify eligibility and benefits prior to scheduling * Complete pre-certifications and communication ... Demonstrated knowledge of insurance verification and authorization requirements * Proficiency in ...
Medical Coordinator
Pinehurst, NC · On-site
Verify eligibility and benefits prior to scheduling * Complete pre-certifications and communication ... Demonstrated knowledge of insurance verification and authorization requirements * Proficiency in ...
Assess insurance requirements, including primary referrals and contracted carriers, prior to ... Knowledge of insurance processes, including verification and authorization requirements.
Assess insurance requirements, including primary referrals and contracted carriers, prior to ... Knowledge of insurance processes, including verification and authorization requirements.
Assess insurance requirements, including primary referrals and contracted carriers, prior to ... Knowledge of insurance processes, including verification and authorization requirements.
Assess insurance requirements, including primary referrals and contracted carriers, prior to ... Knowledge of insurance processes, including verification and authorization requirements.
Patient Care Coordinator - Physical Therapy
Southern Pines, NC · On-site
$15 - $19.75/hr
Assess insurance requirements, including primary referrals and contracted carriers, prior to ... Knowledge of insurance processes, including verification and authorization requirements.
Patient Care Coordinator - Physical Therapy
Southern Pines, NC · On-site
$15 - $19.75/hr
Assess insurance requirements, including primary referrals and contracted carriers, prior to ... Knowledge of insurance processes, including verification and authorization requirements.
Patient Care Coordinator - Physical Therapy
Southern Pines, NC · On-site
$15 - $19.75/hr
Assess insurance requirements, including primary referrals and contracted carriers, prior to ... Knowledge of insurance processes, including verification and authorization requirements.
Patient Care Coordinator - Physical Therapy
Southern Pines, NC · On-site
$15 - $19.75/hr
Assess insurance requirements, including primary referrals and contracted carriers, prior to ... Knowledge of insurance processes, including verification and authorization requirements.
Licensed Practical Nurse
Pinehurst, NC · On-site
$21 - $28.50/hr
Recognize and respond to emergencies according to clinic policy Operational & Administrative Support * Assist with prior authorizations, task management, and clinic workflow coordination * Maintain ...
Licensed Practical Nurse
Pinehurst, NC · On-site
$21 - $28.50/hr
Recognize and respond to emergencies according to clinic policy Operational & Administrative Support * Assist with prior authorizations, task management, and clinic workflow coordination * Maintain ...
Licensed Practical Nurse
Pinehurst, NC · On-site
$21 - $28.50/hr
Recognize and respond to emergencies according to clinic policy Operational & Administrative Support * Assist with prior authorizations, task management, and clinic workflow coordination * Maintain ...
Licensed Practical Nurse
Pinehurst, NC · On-site
$21 - $28.50/hr
Recognize and respond to emergencies according to clinic policy Operational & Administrative Support * Assist with prior authorizations, task management, and clinic workflow coordination * Maintain ...
Outpatient Infusion RN
Laurinburg, NC · On-site
... coordination with other health care team members. oEvaluates and documents effectiveness of ... Ensures patient has authorization prior to drug administration by communicating with the ...
Outpatient Infusion RN
Laurinburg, NC · On-site
... coordination with other health care team members. oEvaluates and documents effectiveness of ... Ensures patient has authorization prior to drug administration by communicating with the ...
Outpatient Infusion RN
Laurinburg, NC · On-site
... coordination with other health care team members. oEvaluates and documents effectiveness of ... authorization prior to drug administration by communicating with the authorizations team. F.
Outpatient Infusion RN
Laurinburg, NC · On-site
... coordination with other health care team members. oEvaluates and documents effectiveness of ... authorization prior to drug administration by communicating with the authorizations team. F.
Care Manager
Pinehurst, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Care Manager
Pinehurst, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Care Manager
Wadesboro, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Care Manager
Wadesboro, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Care Manager
Wadesboro, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Care Manager
Wadesboro, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Care Manager
Wadesboro, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Care Manager
Wadesboro, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Care Manager
Raeford, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Care Manager
Raeford, NC · On-site
Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in ... Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed ...
Prior Authorization Coordinator information
See Rockingham, NC salary details
$11.94 - $13.28
7% of jobs
$13.28 - $14.63
13% of jobs
$15 is the 25th percentile. Wages below this are outliers.
$14.63 - $15.97
17% of jobs
The median wage is $16.64 / hr.
$15.97 - $17.31
26% of jobs
$18.08 is the 75th percentile. Wages above this are outliers.
$17.31 - $18.65
21% of jobs
$18.65 - $20
11% of jobs
$20 - $21.34
4% of jobs
$21.34 - $22.68
1% of jobs
$22.68 - $24.03
0% of jobs
$24.03 - $25.37
0% of jobs
$25.37 - $26.71
0% of jobs
$11
$17
$26
How much do prior authorization coordinator jobs pay per hour?
As of Sep 5, 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 a prior authorization coordinator?
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 the key skills and qualifications needed to thrive as a prior authorization coordinator?
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 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 is the difference between Prior Authorization Coordinator vs Medical Billing Specialist?
| Aspect | Prior Authorization Coordinator | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like CPC or CPC-H | Requires coding certifications (CPC, CCS) and knowledge of billing procedures |
| Work Environment | Healthcare facilities, insurance companies, or billing companies | Medical offices, hospitals, or billing companies |
| Employer & Industry Usage | Used in healthcare settings to manage insurance approvals | Used across healthcare to process and submit claims |
| Search & Comparison Intent | People compare roles related to insurance approval processes | People 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.
Is prior authorization a stressful job?
Prior Authorization Coordinators often experience stress due to tight deadlines, the need for accuracy, and managing complex insurance requirements. The role requires attention to detail, communication skills, and familiarity with medical policies, which can contribute to job pressure but also offers a structured workflow to handle tasks efficiently.
What cities near Rockingham, NC are hiring for Prior Authorization Coordinator jobs?
Cities near Rockingham, NC with the most Prior Authorization Coordinator job openings:
Full-time
Posted 11 days ago
Key responsibilities
Obtain prior authorization for scheduled medical procedures.
Respond to inquiries regarding precertification and insurance matters.
Document all transactions and communications in the patient's medical record.
Job description
Pinehurst Medical Clinic (PMC)
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.
Benefits to support you and your family:
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. For more information regarding our benefits, click here to watch our benefit video or click here for our benefits overview guide.
What will you do as a PMC Precertification Coordinator
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.
A day in the life of a PMC Precertification Coordinator may include:
- 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.
What we can offer
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. For more information regarding our benefits click here Benefits Information
Required Qualifications
- 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.
Experience
- One to two years of experience in a medical office setting is preferred.
- CPT and ICD-10 experience required.
The Pinehurst Medical Clinic is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations and provides equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.