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Insurance Precertification Jobs in Indiana (NOW HIRING)

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 ...

Deaconess

Patient Assistant Radiology- CT

Newburgh, IN · On-site

$16.25 - $21.75/hr

... insurance and billing information; utilizing computers for entering, processing, and acquiring information. This employee greets and registers patients, verifies precertification of exams, answers ...

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 ...

Riverview Health

Patient Access Specialist

Noblesville, IN

$16.25 - $21.50/hr

Calls insurance companies for precertification's and authorizations. Serves as a patient resource in matters concerning up-front collections based upon covered benefits and in accordance with ...

RIVERVIEW HOSPITAL

Patient Access Specialist

Westfield, IN · On-site

$16.50 - $22/hr

Calls insurance companies for precertification's and authorizations. Serves as a patient resource in matters concerning up-front collections based upon covered benefits and in accordance with ...

RIVERVIEW HOSPITAL

Patient Access Specialist

Noblesville, IN · On-site

$16.25 - $21.50/hr

Calls insurance companies for precertification's and authorizations. Serves as a patient resource in matters concerning up-front collections based upon covered benefits and in accordance with ...

Riverview Health

Patient Access Specialist

Noblesville, IN · On-site

$16.25 - $21.50/hr

Calls insurance companies for precertification's and authorizations. Serves as a patient resource in matters concerning up-front collections based upon covered benefits and in accordance with ...

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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 Jul 14, 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, 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 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

OP Therapy Authorizations Rep

Parkview North Hospital

Fort Wayne, IN • On-site

$16.50 - $22/hr

Other

Posted 27 days ago

Job description

Summary

The primary duty is to identify the patient’s insurance that requires pre-authorization for scheduled OP Therapy, and ensuring it is obtained. Responsible for accurately documenting pertinent authorization information in all related billing systems. Responsible for benefit verification for identified services and communicating benefit details to requesting department. Effective communication to the patient regarding lack of authorization our out-of-network services. Responsible for evaluating each account individually, in a timely manner, to determine the appropriate precertification requirements based on established criteria. This role is key to securing reimbursement and minimizing organizational write-offs by following up on denials and appeals to obtain approval from insurance companies. Responsible to fill in as OP Therapy Scheduling Representative as needed. Requirements include the ability to perform at a high level and multi-task in a fast-paced environment; excellent communication, attention to detail, problem-solving, troubleshooting, and time management skills. Coworkers must be able to adapt to constant change and perform in a stressful environment. Coworker is responsible for data integrity in all systems utilized for job functions. Responsible for the delivery of Parkview Health Standards of Behavior, quality performance, and service excellence.

Education

Must be a high school graduate or the equivalent with GED. Medical terminology preferred.

Licensure/Certification

Addendums are required for 0153 Nurse Leader, 0249 Registry RN, 0252 Registered Nurse, 0235 Advanced Registered Nurse, and 0236 Expert Registered Nurse. To view addendums, go to the job description page on Parkview’s intranet.

Experience

Minimum of two years of experience in a health care setting, call center, or clerical position, including experience using Microsoft Office applications preferred. Registration experience preferred. One year insurance pre-authorization experience preferred.

Other Qualifications

Must have excellent verbal and written communication skills. Must be able to demonstrate a working knowledge of general computer skills and applications. Demonstrate ability to multi-task and work independently using critical thinking skills. Professional appearance and adherence to the clinic/facility dress code is expected. Must be willing to work at other locations as assigned.

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