ZipRecruiter

Log In

1

Insurance Precertification Jobs in Kentucky (NOW HIRING)

Trinityhealth

Will interface between physicians, Genesis Health Group departments, and insurance organizations regarding precertification issues. Initiate and follow up on appeals for denied payments. Will ensure ...

Trinity Health

Will interface between physicians, Genesis Health Group departments, and insurance organizations regarding precertification issues. Initiate and follow up on appeals for denied payments. Will ensure ...

Trinityhealth

Will interface between physicians, Genesis Health Group departments, and insurance organizations regarding precertification issues. Initiate and follow up on appeals for denied payments. Will ensure ...

Trinity Health

Will interface between physicians, Genesis Health Group departments, and insurance organizations regarding precertification issues. Initiate and follow up on appeals for denied payments. Will ensure ...

Phenom People

Registration Clerk - PRN

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 ...

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 ...

Lifepoint Health

Registrar

Versailles, KY · On-site

Verify insurance benefits and obtain precertification/authorization as necessary. * Determine and accept required payments, including co-pays and deductibles, or refer 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 ...

next page

Showing results 1-20

All JobsInsurance Precertification JobsInsurance Precertification Jobs in Kentucky

Insurance Precertification information

See Kentucky salary details

$22.6K

$42K

$63.4K

How much do insurance precertification jobs pay per year?

As of Aug 24, 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?

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 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
Infographic showing various Insurance Precertification job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 16% Part Time, 7% Temporary, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $42,045 per year, or $20.2 per hour.

Precertification Specialist

Caldwell County Hospital

Princeton, KY • On-site

$14.25 - $17.75/hr

Other

Posted 17 days ago

Job description

Precertification Specialist

Caldwell Medical Center - PRINCETON, KY

POSITION SUMMARY:

  • This position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with our providers, transcribes and triages patient calls to physicians, coordinates patient appointments/orders.

KEY RESPONSIBILITIES

  • Review chart documentation to ensure patient meets medical policy guidelines.
  • Prioritize incoming authorization requests according to urgency.
  • Obtain authorization via payer files to include up to date requirements needed to successfully to obtain authorizations
  • Initiate appeals for denied authorizations
  • Respond to clinic questions regarding payer medical policy guidelines.
  • Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
  • Contact patients to discuss authorization status
  • Other duties as assigned
  • Contact insurance carriers to verify patient's insurance eligibility, benefits and requirements.
  • Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.
  • Request and follow up and secure prior-authorizations prior to services being preformed
  • Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations
  • Communicate any insurance changes or trends among them
  • Maintains a level of productivity suitable for the department
  • Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.
  • Other duties as assigned

QUALIFICATIONS

  • High School Diploma or GED
  • Knowledge of medical terminology
  • Familiarity with different insurance types
  • 1 year experience in a medical related field required
  • Previous experience in a clinic setting
  • 1 Year pre-certification or pre-authorization experience preferred

Apply