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Insurance Precertification Jobs in New York (NOW HIRING)

Human Hire

Assistant Surgical Scheduler

Fair Lawn, NJ · On-site

$24 - $26/hr

Experience with insurance authorization, precertification, or referral coordination preferred * Orthopedic, spine, pain management, ambulatory surgery center, or specialty practice experience ...

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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?

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 New York? For Insurance Precertification jobs in New York, the most frequently searched job titles are:
What job categories do people searching Insurance Precertification jobs in New York look for? The top searched job categories for Insurance Precertification jobs in New York are:
Insurance Precertification jobs near you
Infographic showing various Insurance Precertification job openings in New York as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Medical Assistant

Advocare Neurowellness MD

Denville, NJ • On-site

$17 - $18/hr

Full-time

Medical, PTO

Re-posted 19 days ago

Job description

JobTitle: MEDICAL ASSISTANT BILINGUAL

Reportsto: Practice Manager and Medical Doctor

Job Summary: Responsiblefor performing a variety of clerical and patient related duties including butnot limited to: SEE RESPONSIBILITIESBELOW

Status: Full-time (35 hours per week), Exempt

Job Responsibilities:

· Enthusiasm and Excellent Customer Service Skills

· Able to perform diagnostic testing with precision and expertise.

· Answer phones to schedule and confirm appointments

· Check in patients as they arrive in office

· Collect ALL pertinent information includingInsurance Cards, Referrals as required from patient

·· Be able to work flexible hours due to volumeof patient appointments as needed

· Be able to obtain precertification fromInsurance Carriers for Tests (MRI, CT scans etc.)

· Follow up with patients regarding testresults, appointments, prescription refills

· Experience in the area of Neurology

· Researching Criteria as needed for Doctor and Management

· Basic Data Entry and PC knowledge of EMR/EHR(Will Train as needed) to enter patient information

· Knowledge of Billing procedures

· Assisting as needed in getting patients into exam rooms

· Accept and Support Management decisions

· Knowledge of Medical Terminology

· Knowledge of Medical coding using CPT and ICD-10coding

· Medical Ethics (Patient Privacy and HIPPAguidelines)

· Ability to be a self starter and contribute innovative ideas towards office needs

· Volunteers innovative ideas towards TEAM EFFORTgoals set forth by Company Policy

· Adheres to Company Policy as outlined by OfficePolicy Manual

· Be able to lift 20 pounds or less

· Other Responsibilities as Assigned

Administrative Duties:

  • Scheduling
  • Insurance verification
  • Answering phones

Supervisor:

  • Physician

Shift Length:

  • 8 hours