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Insurance Precertification Jobs in Indiana (NOW HIRING)

Optima Dermatology

Medical Assistant

Greenwood, IN · On-site

$16.75 - $21.50/hr

Precertifies medications and referrals by contacting the appropriate insurance professionals and providing them with the requested information. Records precertification number in chart. Records and ...

OrthoIndy

Patient Access Representative

Indianapolis, IN · On-site

$16.50 - $21/hr

... precertification and scheduling. Manages STAT and urgent test orders. Understand and follows insurance authorization guidelines when scheduling tests. * Customer Service: Greets and escorts all ...

Goodman Campbell

Medical Office Specialist

Greenwood, IN · On-site

$14.25 - $18.25/hr

Verifies insurance and personal information with patient. * Collects co-payments, pre-payments ... Verifies completion of HIPAA information, authorization and precertification prior to patient visit ...

Optima Dermatology

Medical Assistant

Greenwood, IN · On-site

$16.75 - $21.50/hr

Precertifies medications and referrals by contacting the appropriate insurance professionals and providing them with the requested information. Records precertification number in chart. Records and ...

Beacon Health System

Patient Scheduler (BHS)

South Bend, IN

$17.25 - $22.75/hr

Maintains a basic working knowledge of insurance networks. * Obtains precertification data from physician's office and does compliance checking on required procedures. * Follows established protocol ...

Beacon Health System

Patient Scheduler (BHS)

South Bend, IN · On-site

$17.25 - $22.75/hr

Maintains a basic working knowledge of insurance networks. * Obtains precertification data from physician's office and does compliance checking on required procedures. * Follows established protocol ...

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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
Utilization Review Coordinator

Utilization Review Coordinator

Neuropsychiatric Hospitals

Indianapolis, IN

Other

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

Job description

About UsHealing Body and Mind.

NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.

With locations in Indiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day

Overview

NeuroPsychiatric Hospital of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.

Benefits of joining NPH

  • Competitive pay rates
  • Medical, Dental, and Vision Insurance
  • NPH 401(k) plan with up to 4% Company match
  • Employee Assistance Program (EAP) Programs
  • Generous PTO and Time Off Policy
  • Special tuition offers through Capella University
  • Work/life balance with great professional growth opportunities
  • Employee Discounts through LifeMart
Responsibilities
  • Filing documents as needed.
  • Initial Precertification with payors.
  • Concurrent Clinical review with payors.
  • Document in the electronic system daily in real time.
  • Admission audit.
  • Ensures that CON's/RON's and CMS certifications are completed by provider.
  • Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
  • Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
  • Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
  • Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
  • Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
  • Complies with hospital expectations regarding ethical behavior and standards of conduct.
  • Complies with federal and hospital requirements in the areas of protected health information and patient information.
  • Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
  • Provides education to nursing staff. ;eadership team, and providers regarding documentation.
  • Actively works with the business office regarding resolution of appeals/denials and retrospective reviews. 
Qualifications

Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.

Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.

Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.

Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW

Employment Type: OTHER

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