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Insurance Precertification Jobs in New Jersey (NOW HIRING)

Hunterdon Health

Claim Recovery Specialist

Flemington, NJ

$20.50 - $25.63/hr

Verifies insurance eligibility and benefits. * Secures precertification, preauthorization, and referrals. * Researches, communicates and collects copay/coinsurance obligations. * Completes Insurance ...

Hunterdon Health

Claim Recovery Specialist

Flemington, NJ · On-site

$20.50 - $25.63/hr

Verifies insurance eligibility and benefits. * Secures precertification, preauthorization, and referrals. * Researches, communicates and collects copay/coinsurance obligations. * Completes Insurance ...

Center for Vein Restoration

Medical Receptionist

Union, NJ · On-site

$16.75 - $20.50/hr

Medical, dental & vision insurance * Tuition reimbursement * 401k program * PTO + 8 paid holidays ... Send precertification forms at the close of business daily to the Precertification Department to ...

Center for Vein Restoration

Medical Receptionist

NJ · On-site

$18 - $20/hr

Medical, Dental & Vision insurance * Tuition reimbursement * 401k Program * PTO + 8 paid holidays ... Send precertification forms at the close of business daily to the Precertification Department to ...

Advocare Neurowellness MD

Be Seen First

Medical Assistant

Denville, NJ · On-site

$17 - $18/hr

... Be able to obtain precertification fromInsurance Carriers for Tests (MRI, CT scans etc.) · ... Insurance verification * Answering phones Supervisor: * Physician Shift Length: * 8 hours

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All JobsInsurance Precertification JobsInsurance Precertification Jobs in New Jersey

Insurance Precertification information

See New Jersey salary details

$26.4K

$49.1K

$74.1K

How much do insurance precertification jobs pay per year?

As of Aug 21, 2026, the average yearly pay for insurance precertification in New Jersey is $49,147.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,600.00 and $55,800.00 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 New Jersey?

For Insurance Precertification jobs in New Jersey, the most frequently searched job titles are:

What job categories do people searching Insurance Precertification jobs in New Jersey look for?

The top searched job categories for Insurance Precertification jobs in New Jersey are:

Insurance Precertification jobs near you
Infographic showing various Insurance Precertification job openings in New Jersey as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $49,147 per year, or $23.6 per hour.

Claim Recovery Specialist

Hunterdon Health

Flemington, NJ

$20.50 - $25.63/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Hunterdon Health rating

6.7

Company rating: 6.7 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

Job description

Position Summary

Responsible for the ongoing maintenance and review of denied claims to recapture revenue. Ensures that insurance requirements and financial obligations are obtained and/or communicated to patients for collection of elective hospital services prior to date of service and/or billing.

Primary Position Responsibilities

  1. Research and recovery of denied insurance claims.
  2. Verifies insurance eligibility and benefits.
  3. Secures precertification, preauthorization, and referrals.
  4. Researches, communicates and collects copay/coinsurance obligations.
  5. Completes Insurance Notifications.
 

Qualifications

Minimum Education:

Required:

High School Diploma or Equivalent

Preferred:

None


Minimum Years of Experience (Amount, Type and Variation):

Required:

None

Preferred:

One year of medical office/hospital registration/patient accounting experience


License, Registry or Certification:

Required:

None

Preferred:

None


Knowledge, Skills and/or Abilities:

Required:

None

Preferred:

None

Hunterdon Health is committed to providing a competitive benefit package to our employees.  Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).

What Hunterdon Health employees say

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