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Insurance Precertification Jobs in Kentucky (NOW HIRING)

Phenom People

Registration Clerk - PRN

Georgetown, KY

$15 - $18.50/hr

Verifies insurance benefits and obtains precertification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for ...

Phenom People

Clerk - Registration / FT

Georgetown, KY · On-site

$15 - $18.50/hr

Verifies insurance benefits and obtains precertification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for ...

UK St Claire

Post-Acute Admissions Facilitator

Lexington, KY · On-site

$19.25 - $26/hr

Essential Functions • Initiates and completes precertification and authorization requests for post-acute care services in accordance with payer requirements. • Communicates with insurance ...

Deaconess

Patient Assistant Radiology

Morganfield, KY · On-site

$14.75 - $20/hr

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

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Insurance Precertification information

See Kentucky salary details

$22.6K

$42K

$63.4K

How much do insurance precertification jobs pay per year?

As of Jun 7, 2026, the average yearly pay for insurance precertification in Kentucky is $42,045.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,700.00 and $47,800.00 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 Kentucky? For Insurance Precertification jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Insurance Precertification jobs in Kentucky look for? The top searched job categories for Insurance Precertification jobs in Kentucky are:
Insurance Precertification jobs near you
Cancer Care Precertification Specialist

Cancer Care Precertification Specialist

St. Elizabeth Healthcare

Edgewood, KY

Full-time

Medical, Retirement, PTO

Posted 10 days ago

St. Elizabeth Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 121 frontline employees who took The Breakroom Quiz

593rd of 869 rated healthcare providers

Job description

Engage with us for your next career opportunity. Right Here.

Job Type:

Regular

Scheduled Hours:

40

💙 Why You'll Love Working with St. Elizabeth Healthcare

At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We're guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do.

🌟 Benefits That Support You

We invest in you - personally and professionally.

Enjoy:

- Competitive pay and comprehensive health coverage within the first 30 days.

- Generous paid time off and flexible work schedules

- Retirement savings with employer match

- Tuition reimbursement and professional development opportunities

- Wellness, mental health, and recognition programs

- Career advancement through mentorship and internal mobility

Job Summary:

St. Elizabeth Healthcare is hiring a Cancer Care Precertification Specialist for our Cancer Care unit located within the Edgewood Hospital.
Shift/Hours: Full Time, 40 hours/week, 1st shift, 8:00 AM - 4:30 PM
Hybrid Role: In person training requirement. One in person day per month after training. All equipment provided. Must have strong internet connection.

Job Description:

The Cancer Care Pre-Cert Specialist is responsible for securing a patient account from the initial interaction through the performed treatment or exam. Responsible for the verification, authorization, pre collection process and scheduling exams, and pre-registering. This position exists to enhance customer service, while securing accounts according to standard protocols and payer requirements as well as provide patient access to potential coverage options or assistance programs.

  • Perform eligibility and benefit analysis for all treatment and exams, i.e., chemotherapy or radiation oncology.Obtain authorization as needed from referring physician office and verify for accuracy.
  • Completes verification, benefit analysis, and authorization for specified OP procedures/appointments directly with the insurance payer.
  • Review patient schedule to ensure appropriate pre-certifications are obtained based on medical treatment plan and exams.Follow-up as needed with scheduling conflicts or problems.
  • Work with other departments and outside entities to establish a positive working relationship that promotes cooperation and teamwork.
  • Uses strong customer service skills that reflect Mission, Vision, and Values statement of the St. Elizabeth HealthCare.Maintains strict patient confidentiality at all times.

Additional Requirements

  • Required to attend monthly staff meetings, possible evening or weekend hours.
  • Responsible for completing annual hospital and department educational requirements.
  • Attends meetings and webinars as assigned.
  • Adhere to policy and procedures of St. Elizabeth HealthCare.
  • Performs other duties as assigned. May schedule and/or pre-register OP procedures/appointments from physician's offices, patients, or other ancillary departments via telephone inquiry, fax request or CPOE WQ.

Education, Credentials, Licenses:

  • High School Diploma or GED

Specialized Knowledge:

  • PC skills, including Word and Excel.
  • Strong Interpersonal and organization skills.
  • Data Entry Skills above 100 Net Key strokes/min.

Kind and Length of Experience:

  • 1 year Health care experience including: registration, scheduling, verification or authorization process, interpreting healthcare insurance plans from commercial, state, and federal payers, clerical experience.

FLSA Status:

Non-Exempt

Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

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