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Insurance Precertification Jobs in Illinois (NOW HIRING)

Sinai Chicago

INSURANCE VERIFIER II

Chicago, IL · On-site

As part of the Revenue Cycle, the Insurance VerifierII is responsible for financial clearance of ... This includes,but is not limited to, online eligibility, initiating precertification/authorization ...

Sinai Chicago

INSURANCE VERIFIER II

Chicago, IL · On-site

As part of the Revenue Cycle, the Insurance VerifierII is responsible for financial clearance of ... This includes,but is not limited to, online eligibility, initiating precertification/authorization ...

UHS

SUPV - INTAKE/SOCIAL SVCS

Champaign, IL · On-site

$26.12 - $39.18/hr

Precertification of patient insurance. 18. Complete consultation with other professionals and provide off-site assessments as requested and feasible. 19. Works with Business Office in verifying ...

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All JobsInsurance Precertification JobsInsurance Precertification Jobs in Illinois

Insurance Precertification information

See Illinois salary details

$25.2K

$46.9K

$70.7K

How much do insurance precertification jobs pay per year?

As of Jul 14, 2026, the average yearly pay for insurance precertification in Illinois is $46,910.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,800.00 and $53,300.00 per year, depending on experience, location, and employer.

What is insurance precertification?

Insurance precertification is the process of obtaining approval from a health insurance company before a patient receives certain medical procedures, tests, or medications. This step ensures that the insurance provider agrees the proposed service is medically necessary and will be covered under the patient’s plan. Without precertification, an insurance company may deny payment for the service, leaving the patient responsible for the full cost. The process typically involves submitting clinical information and documentation to justify the need for the service. Precertification helps manage healthcare costs and ensures appropriate care from the start.

What are the key skills and qualifications needed to thrive in Insurance Precertification, and why are they important?

Success in Insurance Precertification requires knowledge of medical terminology, insurance policies, and healthcare procedures, often supported by experience in medical billing or coding. Familiarity with precertification software systems, electronic health records (EHRs), and payer portals is typically necessary. Strong attention to detail, organizational skills, and effective communication are vital soft skills for managing complex cases and collaborating with providers and insurers. These skills ensure timely and accurate insurance approvals, minimize claim denials, and support smooth patient care operations.

What is the difference between Insurance Precertification vs Insurance Authorization?

AspectInsurance PrecertificationInsurance Authorization
DefinitionProcess of obtaining prior approval from an insurer before certain services or proceduresGeneral approval from an insurer for coverage of services, often after services are rendered
TimingBefore the service or procedureUsually after the service has been provided
Required CredentialsTypically performed by insurance specialists or case managersHandled by insurance representatives or healthcare providers
Work EnvironmentInsurance companies, healthcare facilities, or third-party vendorsHospitals, clinics, or healthcare provider offices

Insurance Precertification involves obtaining prior approval before a procedure, while Insurance Authorization generally refers to approval after services are provided. Both are essential for insurance coverage but serve different stages in the approval process.

What are some common challenges faced in an Insurance Precertification role, and how can they be managed?

One common challenge in Insurance Precertification is navigating varying requirements and policies across different insurance providers, which can lead to delays or denials if not handled accurately. Staying organized, maintaining up-to-date knowledge of payer guidelines, and developing strong communication skills are essential for efficiently securing approvals. Collaborating closely with healthcare providers and insurance representatives can also help resolve issues quickly and ensure the best outcomes for patients. Many teams use specialized software systems to track requests and streamline the process, which can significantly reduce administrative burdens.
What are popular job titles related to Insurance Precertification jobs in Illinois? For Insurance Precertification jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Insurance Precertification jobs in Illinois look for? The top searched job categories for Insurance Precertification jobs in Illinois are:
Insurance Precertification jobs near you
Infographic showing various Insurance Precertification job openings in Illinois as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $46,910 per year, or $22.6 per hour.

Central Scheduling Specialist

Hillsboro Health

Hillsboro, IL • On-site

$18.90 - $28.35/hr

Full-time

Posted 18 days ago

Job description

Job Type
Full-time
Description
The Central Scheduling Specialist is responsible for coordinating and scheduling patients for all hospital services using EHR. This position ensures that all scheduling protocols are followed, required orders, and authorizations are obtained, and all necessary documentation is completed prior to patient appointments. This position will obtain insurance benefits & precertification, including collection on estimated patient balance due. This position will perform pre-registration phone calls on patients scheduled for services. All patients and visitors are to be welcomed in a warm, caring, and professional manner.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Generates accurate and complete admission records on the computer.
  • Schedules all patient appointments for the hospital departments.
  • Follows the protocols for such scheduling, obtains proper paperwork, consent/required signatures in accordance with quality standards while maintaining accuracy.
  • Communicate closely with interdepartmental staff, coordinating the schedules and obtaining proper paperwork, orders and previous diagnostic testing when needed.
  • Ensure patients that require lab work for certain tests do so in a timely manner that will not disrupt the schedule.
  • Is responsible for obtaining, scanning, scheduling, and filing all orders for all services coming into the facility.
  • Works with insurance companies to obtain precertification and document correct information needed for billing.
  • Generates daily reports and distributes them to proper departments.
  • Utilizes computers to determine patient locations for directing callers and visitors to appropriate patient room.
  • Pre-registers and pre-admits scheduled patients.
  • Accurately scans orders and paperwork daily.
  • Other duties may be assigned and are subject to change with or without prior notice.
  • Show initiative. Tasks are completed before the end of shift and aids in the preparation for the next day. Utilizes time wisely. Does not allow for unimportant interruptions. Able to multi-task, prioritize work, and complete it in a timely manner.
  • Demonstrates knowledge of the department and management line of authority and follows proper lines of communication. Shows good problem-solving skills yet seeks guidance and direction from manager when necessary.
  • Adhere to all hospital and scheduling department policies, procedures, rules and regulations, while meeting the requirements of the Code of Conduct and hospital compliance program.

Requirements
Professional Requirements:
  • Maintain orderly condition of assigned work area.
  • Maintain confidentiality of all patients, hospital, and physical related information.
  • Is knowledgeable of general hospital and department specific policies and procedures.
  • Demonstrate good positive communication skills with patients, families, and medical staff as well as co-workers

Education and/or Experience:
  • High school diploma required. Higher Education Preferred.
  • Experience in obtaining insurance benefits & insurance precertification required.
  • Medical terminology course or experience preferred.
  • Required proficiency in general clerical office duties, i.e., computer keyboarding, average typing skills, and switchboard console.
  • Excellent customer services skills required.
  • Previous experience as receptionist, secretary or switchboard in a healthcare setting is preferred.
  • Must be able to work with interruptions and pay attention to detail
  • Must maintain an average accuracy of 98.7% or above.

Certificates and Licenses:
None
Physical Demands:
For physical demands of the position, including vision, hearing, repetitive motion and environment, see the following description.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.
CORPORATE COMPLIANCE
Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health's Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.
BENEFITS
Please use the link below to visit our website for a list of benefits offered.
https://www.hillsborohealth.org/careers
Salary Description
$18.90 - $28.35 per hour

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