Job Title Insurance Precertification And Prior Authorization Specialist Job Summary: This position is responsible for obtaining and/or verifying insurance precertification and prior authorization ...
Job Title Insurance Precertification And Prior Authorization Specialist Job Summary: This position is responsible for obtaining and/or verifying insurance precertification and prior authorization ...
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
Direct Hire Medical Coordinator With Surgery Scheduling The Direct Hire Medical Coordinator with ... Authorization * Verify insurance eligibility and benefits prior to scheduling * Assess referral ...
Medical Coordinator
Pinehurst, NC · On-site
Direct Hire Medical Coordinator With Surgery Scheduling The Direct Hire Medical Coordinator with ... Authorization * Verify insurance eligibility and benefits prior to scheduling * Assess referral ...
... Authorization * Verify insurance eligibility and benefits prior to scheduling * Assess referral ... Provide coverage for the Surgical Coordinator as needed Administrative & Operational Support
... 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
Verify eligibility and benefits prior to scheduling * Complete pre-certifications and communication ... Demonstrated knowledge of insurance verification and authorization requirements * Proficiency in ...
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.
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.
Care Coordinator (Medical Receptionist/PSR)
Southern Pines, NC · On-site
$15 - $16/hr
... authorization, and phone calls * Review, schedule, and follow up on incoming referrals by gathering ... No prior medical experience required - we provide comprehensive training including EMR navigation ...
New
Care Coordinator (Medical Receptionist/PSR)
Southern Pines, NC · On-site
$15 - $16/hr
... authorization, and phone calls * Review, schedule, and follow up on incoming referrals by gathering ... No prior medical experience required - we provide comprehensive training including EMR navigation ...
New
... authorization, and phone calls * Review, schedule, and follow up on incoming referrals by gathering ... No prior medical experience required -- we provide comprehensive training including EMR navigation ...
New
... authorization, and phone calls * Review, schedule, and follow up on incoming referrals by gathering ... No prior medical experience required -- we provide comprehensive training including EMR navigation ...
New
Care Coordinator (Medical Receptionist/PSR)
Southern Pines, NC · On-site
$15 - $16/hr
... authorization, and phone calls * Review, schedule, and follow up on incoming referrals by gathering ... No prior medical experience required -- we provide comprehensive training including EMR navigation ...
New
Care Coordinator (Medical Receptionist/PSR)
Southern Pines, NC · On-site
$15 - $16/hr
... authorization, and phone calls * Review, schedule, and follow up on incoming referrals by gathering ... No prior medical experience required -- we provide comprehensive training including EMR navigation ...
New
Care Coordinator (Medical Receptionist/PSR)
Southern Pines, NC · On-site
$15 - $16/hr
... authorization, and phone calls * Review, schedule, and follow up on incoming referrals by gathering ... No prior medical experience required -- we provide comprehensive training including EMR navigation ...
New
Care Coordinator (Medical Receptionist/PSR)
Southern Pines, NC · On-site
$15 - $16/hr
... authorization, and phone calls * Review, schedule, and follow up on incoming referrals by gathering ... No prior medical experience required -- we provide comprehensive training including EMR navigation ...
New
... coordination with other health care team members. oEvaluates and documents effectiveness of ... Ensures patient has authorization prior to drug administration by communicating with the ...
... 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
Wadesboro, NC · On-site
Medical
Dental
Vision
Life
Retirement
PTO
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
Medical
Dental
Vision
Life
Retirement
PTO
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 Aug 15, 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?
| 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.
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 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 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:
Other
Re-posted yesterday
FirstHealth of the Carolinas rating
7.3
Based on 49 frontline employees who took The Breakroom Quiz
306th of 887 rated healthcare providers
Job description
Job Title
Insurance Precertification And Prior Authorization Specialist
Job DescriptionJob 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.
ResponsibilitiesAdditional 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.
QualificationsQualifications: 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
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Get the full story on Breakroom
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