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Insurance Precertification Jobs in Missouri (NOW HIRING)

$20.30 - $27.41/hr

Completes the tasks of insurance verification, obtaining precertification, completing credit statements, making payments plans, requesting deposits, initiating referrals to sponsorship programs.

$20.30 - $27.41/hr

Functional knowledge of ICD10 coding, insurance company referrals/precertification, worker's compensation and demographic information. * Other Office Management - Coordinates work with nurse ...

$20.30 - $27.41/hr

Functional knowledge of ICD10 coding, insurance company referrals/precertification, worker's compensation and demographic information. * Other Office Management - Coordinates work with nurse ...

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Insurance Precertification information

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 job categories do people searching Insurance Precertification jobs in Missouri look for? The top searched job categories for Insurance Precertification jobs in Missouri are:
Infographic showing various Insurance Precertification job openings in Missouri 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.
Medical Assistant - Mercy STL - Co-worker Health

Medical Assistant - Mercy STL - Co-worker Health

Mercy

Saint Louis, MO

$16.50 - $22.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago


Mercy rating

6.4

Company rating: 6.4 out of 10

Based on 206 frontline employees who took The Breakroom Quiz

638th of 885 rated healthcare providers


Job description

Find your calling at Mercy! Assists the physician and office staff with performance of patient care activities consistent with the established standards of nursing practice. The incumbent in this position shall carry out his or her responsibilities and integrate into his or her work ethic the Mercy Philosophy of caring for the sick and suffering, respect for human life and the dignity of each person, applying Christian values to all crucial human issues in the area over which he or she has responsibility. In communicating with patients, families, visitors and co-workers, a caring, friendly, personal and professional
approach is expected. Performs related duties as assigned. All the duties, responsibilities and qualifications documented in this job description are subject to reasonable accommodation. This job description is not to be construed as a detailed statement of duties, responsibilities or requirements. Position Details:
Medical Assistant – Co-Worker Health

Location: Mercy St. Louis Co-Worker Health
Schedule: Full-Time, 40 Hours per Week
Hours: Monday–Friday | No Weekends | No Holidays

Join Mercy's Co-Worker Health Team

Mercy is seeking a compassionate and detail-oriented Medical Assistant to support our Co-Worker Health team in St. Louis. In this role, you will work alongside providers and clinical staff to deliver exceptional care and service to Mercy co-workers. This position offers a predictable weekday schedule with no weekends or holidays, making it an excellent opportunity for individuals seeking work-life balance while making a meaningful impact.

At Mercy, we are committed to delivering care with compassion, respect, professionalism, and excellence while supporting the health and well-being of those who care for others.

Key Responsibilities
  • Welcome patients and prepare them for appointments by obtaining vital signs and updating medical histories, including medications.
  • Prepare patients for examinations and assist providers during exams and procedures.
  • Perform basic diagnostic testing, including urine dipsticks, glucose testing, EKGs, and other approved procedures based on competency.
  • Accurately and promptly document patient care within the electronic health record (EHR).
  • Reinforce patient education provided by physicians or nursing staff.
  • Maintain clean, organized exam rooms and ensure adequate clinical supplies are available.
  • Coordinate scheduling of diagnostic testing, specialty referrals, and follow-up appointments.
  • Assist with insurance precertification and prior authorization processes.
  • Support referral management and coordination of care.
  • Perform front-office responsibilities, including answering phones, patient registration, check-in/check-out, document management, and fax processing.
  • Participate in quality improvement initiatives, team meetings, and ongoing professional development.
  • Follow all infection prevention, patient safety, regulatory, and organizational policies and procedures.
  • Conduct competency reviews for other Medical Assistants when needed and appropriate.
  • Perform additional duties within the Medical Assistant scope of practice as assigned.
Minimum QualificationsEducation
  • High school diploma or equivalent required.
  • New hires must successfully complete Mercy's MA Clinic Academy training program.
  • Medical Assistants progressing to the Certified Advanced Medical Assistant career ladder title must complete all required MA competencies.
Certification
  • Current Medical Assistant certification required and must be actively maintained.
Additional Requirements for Hospital Outpatient Departments (HOD)
  • Basic Life Support (BLS) certification required.
Preferred Qualifications
  • One year of patient care experience in an outpatient, ambulatory, or clinic setting.
  • Basic Life Support (BLS) certification for non-HOD clinic settings.
  • Experience working with electronic health records and clinical documentation systems.
Knowledge, Skills & Abilities
  • Strong communication and interpersonal skills.
  • Ability to build positive relationships with patients, providers, and team members.
  • Proficiency with EHR systems and clinical documentation.
  • Strong organizational skills with the ability to multitask in a fast-paced environment.
  • Knowledge of common outpatient procedures, equipment, and patient care practices.
  • Commitment to patient-centered care, quality outcomes, and continued professional development.
  • Ability to effectively work with diverse patient populations and varying healthcare needs.
Work Environment
  • Outpatient clinical setting with frequent patient interaction.
  • Regular use of clinical equipment and technology.
  • Exposure to infectious materials and bodily fluids; appropriate personal protective equipment (PPE) is provided.
Physical Requirements
  • Ability to stand and walk for extended periods throughout the workday.
  • Ability to lift, push, pull, and move up to 50 pounds on a regular basis.
  • Ability to bend, kneel, squat, twist, reach, and perform other physical activities required to support patient care.
Why Mercy?

Mercy offers a supportive team environment, opportunities for professional growth, and the chance to contribute to the health and well-being of the caregivers who serve our communities every day.

Apply today and become part of a team dedicated to caring for those who care for others.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.


What Mercy employees say

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About Mercy

Sourced by ZipRecruiter

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Chesterfield, MO, US

Year founded

1827