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Insurance Precertification Jobs in Kentucky (NOW HIRING)

... all precertification authorizations for surgery, and collecting any pre-surgery payments. This ... Obtain pre-certification authorization for surgery for both primary and secondary insurance ...

Surgery Coordinator

Louisville, KY · On-site

$15 - $22/hr

... all precertification authorizations for surgery, and collecting any pre-surgery payments. This ... Obtain pre-certification authorization for surgery for both primary and secondary insurance ...

Verifies insurance benefits and obtains precertification/authorization when required * Collects and processes co-pays and deductibles or refers patients to financial counseling as appropriate

Verifies insurance benefits and obtains precertification/authorization as needed. * Determines and collects required payments, including co-pays and deductibles, or refers patients to financial ...

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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 9, 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:
Infographic showing various Insurance Precertification job openings in Kentucky as of June 2026, with employment types broken down into 11% Locum Tenens, 4% Internship, 56% Full Time, 14% Part Time, 4% Contract, and 11% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $42,045 per year, or $20.2 per hour.
Clinic Clerk - Non Union

$17.50 - $21.50/hr

Full-time

Posted 7 days ago


Appalachian Regional Healthcare rating

6.4

Company rating: 6.4 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

632nd of 870 rated healthcare providers


Job description

Overview
The Clinic Clerk is responsible for efficient and courteous registration, transfer and discharge of patients within established policies and procedures; thoroughly compiles and types medical information for patients' records and statistical reports and maintains current and accurate patient account receivables.
Responsibilities
MAJOR ACTIVITIES:
  • Greets patients courteously, determines their needs, and offers assistance.
  • Registers patient by performing necessary procedures, such as, preparation of records, reports, notices, service charge slips, and payor information.
  • Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor.
  • May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments.
  • Answers inquiries to patient accounts and advises patient on insurance benefits.
  • Receives all payments and deposits, issues receipts for all monies received and otherwise makes proper accounting for all funds received.
  • Posts charges daily to proper patient accounts.
  • Posts payments to accounts daily.
  • Bills patients routinely within established policies and procedures.
  • Determines billing methods for third-party payor.
  • Maintains required registers for Medicare, Medicaid and others as required.
  • Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures.
  • May transport patients in wheelchairs.
  • Operates various office equipment to include copiers, fax machines and other equipment as assigned.
  • Maintains income register and report of adjustments to accounts receivable.
  • Operates communication systems, placing and answering telephone calls, paging or contacting staff and maintaining appropriate records.
  • Keeps a record of all incoming toll-charge calls.
  • May serve as general receptionist for clinic, supplying nontechnical information regarding the clinic or refers questions to proper person.
  • May give general information concerning a patient's condition or status under guidelines furnished by nursing or other appropriate personnel.
  • May make and maintain appointment schedules for Clinic Physicians.
  • May secure required signatures on reports and records relative to release of information, according to policies of the clinic.
  • May assist physicians and nursing personnel as required.
  • Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings.
  • Types memos, correspondence, billing forms, etc., as needed.
  • Maintains sufficient files according to established procedures for an efficient operation of the Business Office/Clinic including patient charts.
  • Compiles periodic and statistical reports and other data as directed.
  • Maintains log of patient charts issued and missing charts.
  • Maintains work area in a clean and safe manner.
  • Performs other related duties as assigned.

Qualifications
High School Diploma or GED equivalent (preferably with commercial courses, e.g., filing, office methods, business english).
Must possess basic computer skills in Word and Excel.
Knowledgeable of medical terminology, CPT coding and ICD9 coding.
Must type 60 words per minute accurately, operate various office machines, and possess general knowledge of clerical and business procedures.
Must be well organized and function well under stressful conditions.
Three (3) to six (6) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities.

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