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Insurance Precertification Jobs in Kentucky (NOW HIRING)

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

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 as necessary. * Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors ...

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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 Jul 16, 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 July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $42,045 per year, or $20.2 per hour.
Medical Assistant Non Union

Medical Assistant Non Union

Appalachian Regional Healthcare, Inc.

Paintsville, KY • On-site

$17.25 - $22/hr

Full-time

Posted 4 days ago


Appalachian Regional Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 74 frontline employees who took The Breakroom Quiz

604th of 886 rated healthcare providers


Job description

Overview
The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patients
within established policies and procedures; thoroughly compiles and types of medical information for patients'
records and statistical reports and maintains current and accurate patient account receivables.
The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodative
services for the comfort and well-being of patients in accordance with physicians' orders.
Responsibilities
Performs basis patient care procedures as required.
Participates in conferences and serves on committees as requested.
Participates in patient and family education as necessary.
Prepares for and assists with diagnostic and therapeutic treatments.
Takes and records vital signs, height and weight.
Performs catheterizations and provides catheter care.
Administers oral and intra-muscular medications.
Cares for patient receiving oxygen therapy.
Applies sterile and non-sterile compresses and bandages.
Tests urine for sugar, acetone, and Ph.
Assists with physical examinations.
Applies ace bandages, hot and/or cold compresses.
Collects specimens, blood, urine, stool, and sputum. May do venipunctures and EKGs as needed.
Maintains cleanliness, safety and efficiency in the clinic.
Alert to and able to respond appropriately in an emergency situation.
Prepares used equipment for re-sterilization.
Knows legal requirements for reporting to police, health department, and other agencies and follows
requirements.
Accompanies or transfers patients to other departments such as lab or x-ray.
Cleans and stocks examination rooms.
Manages time in order to expedite patient flow.
Assists with minor out-patient surgery.
Greets patients courteously, determines their needs, and offers assistance.
Registers patients 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 thirdparty payments.
Answers inquires 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 account.
Posts payments to accounts daily.
Determines billing method for third party payor.
Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures.
Operates various office equipment to include copiers, fax machines and other equipment as assigned.
Operates communication systems, placing and answering telephone calls, paging or contacting staff .
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
and procedures.
Contacts patients, physicians, or others for information necessary to properly complete insurance or other type
billings.
Types memos, correspondence, etc., as needed.
Compiles periodic and statistical reports and other data as directed.
Qualifications
Education (experience can be substituted for education)
High School Diploma Required
Graduate of Medical Assistant Training Program Preferred
Work Experience (education can be substituted for experience)
Up to 1 year Three (3) to six (6) months on-the-job training as required to attain proficiency of assigned
duties and responsibilities if not certified. Required
Knowledge, Skills and Abilities
Obtain patient history and take vital signs to assist physician with examination and treatment.
Prepare and maintain examination and treatment area.
Perform selected tests that assist with diagnosis and treatment. Screen and follow-up patient test results.
Prepare and administer medications as directed by physician and maintain medication records.
Licenses and Certifications
Medical Assistant certification from an accredited program. Preferred

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