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Insurance Precertification Jobs in Indiana (NOW HIRING)

UHS

UR Coordinator (PRN)

Kouts, IN · On-site

... the insurance precertification process is complete. • Provide clinical precertification information to patients, managed care companies, insurance companies and other third party reviewers to ...

HHC

Pharmacy Medication Access Specialist

Indianapolis, IN

$15.75 - $19.25/hr

... precertification. This position functions as a liaison and navigator for patients, clinical staff ... insurance coverage and programs that affect costs for therapies with a focus on high cost, high ...

Parkview Health

OP Therapy Authorizations Rep

Fort Wayne, IN · On-site

$16.50 - $22/hr

Summary The primary duty is to identify the patient's insurance that requires pre-authorization for ... precertification requirements based on established criteria. This role is key to securing ...

Parkview Health

OP Therapy Authorizations Rep

Fort Wayne, IN · On-site

$16.50 - $22/hr

Summary The primary duty is to identify the patient's insurance that requires pre-authorization for ... precertification requirements based on established criteria. This role is key to securing ...

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Showing results 1-20

All JobsInsurance Precertification JobsInsurance Precertification Jobs in Indiana

Insurance Precertification information

See Indiana salary details

$24.7K

$46.1K

$69.5K

How much do insurance precertification jobs pay per year?

As of Aug 23, 2026, the average yearly pay for insurance precertification in Indiana is $46,064.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,100.00 and $52,300.00 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?

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 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 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 does an insurance precertification specialist do?

An insurance precertification specialist reviews medical requests to determine if prior approval is needed for procedures or treatments. They verify insurance requirements, gather necessary documentation, and communicate with healthcare providers and insurance companies to ensure coverage approval before services are rendered.

What are popular job titles related to Insurance Precertification jobs in Indiana?

For Insurance Precertification jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Insurance Precertification jobs in Indiana look for?

The top searched job categories for Insurance Precertification jobs in Indiana are:

Insurance Precertification jobs near you
Infographic showing various Insurance Precertification job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $46,064 per year, or $22.1 per hour.

Precertification Specialist

Cataract & Laser Institute

Wabash, IN • On-site

$15.75 - $19.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Join Our Team!
Cataract & Laser Institute is seeking a detail-oriented and dependable Precertification Specialist to join our team. In this role, you will help ensure patients receive timely access to surgical care by coordinating insurance eligibility, benefits, precertifications, and prior authorizations.
You will serve as an important connection between patients, providers, surgical teams, clinic staff, and insurance companies-helping create a seamless, compassionate, and efficient experience from scheduling through surgery.
What You'll Do
  • Obtain insurance precertifications and prior authorizations for surgical procedures.
  • Verify patients' insurance eligibility, benefits, coverage requirements, and financial responsibility.
  • Review scheduled procedures and supporting clinical documentation to ensure payer requirements are met.
  • Submit accurate authorization requests with the appropriate medical records and supporting documentation.
  • Communicate with insurance companies regarding authorization status, additional documentation requests, denials, and appeals.
  • Coordinate with surgeons, surgical schedulers, clinic teams, billing staff, and patients to resolve authorization or coverage concerns.
  • Maintain accurate and timely documentation within the electronic medical record and other applicable systems.
  • Monitor pending authorizations, expiration dates, and renewal requirements to prevent delays or cancellations.
  • Assist with resolving denied or delayed authorization requests.
  • Stay informed of payer-specific guidelines, authorization requirements, and regulatory changes.
  • Protect patient confidentiality and maintain compliance with HIPAA and organizational policies.
  • Provide professional, compassionate service when communicating with patients and internal teams.
What We're Looking For
  • High school diploma or equivalent required; associate degree in healthcare administration or a related field preferred.
  • Previous experience with insurance verification, prior authorizations, precertification, medical billing, or healthcare administration preferred.
  • Knowledge of medical terminology, insurance plans, CPT codes, and ICD-10 codes preferred.
  • Strong attention to detail and a commitment to maintaining accurate documentation.
  • Excellent organizational, time-management, and problem-solving skills.
  • Ability to prioritize multiple requests and meet deadlines in a fast-paced environment.
  • Strong written and verbal communication skills.
  • Comfortable communicating with patients, insurance representatives, providers, and clinical teams.
  • Proficiency with electronic medical records, Microsoft Office, and other healthcare-related systems.
  • Ability to work independently while contributing to a collaborative team environment.
Why Join Cataract & Laser Institute?
  • Competitive compensation
  • Medical, dental, and vision insurance
  • 401(k) with company match
  • Paid time off and paid holidays
  • Company-paid life insurance
  • Supportive and team-focused work environment
  • Opportunities to develop your knowledge and grow within the organization
    PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):
    • Physical Activity: Standing for sustained periods of time, Stooping, Grasping, Lifting, Talking, Hearing.
    • Physical requirements: Light work. Must be able to lift up to 15 lbs on a regular basis from floor to waist, 5 lbs from waist to shoulder, and 5 lbs from shoulder to overhead.
    • The worker is required to have close visual acuity to perform each activity.
    • The worker may be exposed to the following hazards:
    • Blood borne pathogens
    • Communicable diseases
    • Chemicals
    • Steam
    • Pressurized cylinders
    • Sharp objects
    • Moving parts of equipment
Make an Impact
As a Surgical Precertification Specialist, your accuracy, persistence, and communication will directly support our patients and surgical teams. By helping resolve insurance requirements before the day of surgery, you will reduce delays, improve the patient experience, and help ensure each patient receives the care they need.
If you are organized, compassionate, and ready to make a meaningful difference in the surgical care process, we encourage you to apply today!
Cataract & Laser Institute is an Equal Opportunity Employer.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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