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Insurance Precertification Jobs in New York (NOW HIRING)

UHS

ADMISSIONS REP/REGISTRAR PD

Summit, NJ · On-site

Facilitates the Assessment and Referral process by getting AOC approvals, doctor's assignments, and precertification's from insurance companies * Knowledge of EMTALA/the legal implications of ...

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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.

Neuro IR Medical Assistant

University Radiology

East Brunswick, NJ • On-site

$22/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 20 days ago

University Radiology rating

8.8

Company rating: 8.8 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

Sign-on Bonus Now Being Offered to Eligible New Hires!**

University Radiology, the largest provider of subspecialty radiology and teleradiology services in NJ, is comprised of over 200 Board Certified radiologists with advanced U.S.-based training and expertise in all modalities and all subspecialty areas. In operation for more than 60 years, University Radiology staffs, manages and provides preliminary and final subspecialty interpretations and consultative support for hospitals, imaging centers and other medical facilities, and serves as the academic radiology faculty at Rutgers Robert Wood Johnson Medical School. Our physicians interpret over 2.1 million radiology procedures per year.


University Radiology is seeking a full-time Neuro IR Medical Assistant (CMA) to join our team at our East Brunswick, NJ office.

8:30am - 5:00pm

  • Due to the nature of the complicated diagnoses, patients are frequently considered TBI (Traumatic Brain-Injured) and experience PTSD (Post-Traumatic Stress Disorder). Neurointerventional navigator must be extremely sensitive to the patient needs and may assist to refer to psych/Brain Aneurysm/AVM support group at the recommendation of the Neurointerventional radiologist.
  • Collaborates effectively with referring MD, Anesthesiology, neurosurgery, pediatrics, vascular surgery and other radiologists as needed to provide coordinated care.
  • Excellent understanding of Insurance company requirements/pre-certification processes with good understanding what is required from each insurance company as well as appropriate timing of scheduled procedures based on insurance requirements.
  • Schedule procedures in MI with excellent knowledge of precertification requirements.
  • Manage approximately 15 to 25 consults weekly and a large amount of weekly follow up MRI/MRA or consults. Excellent knowledge of Doxy for telemedicine visits when needed.  Facilitate patients’ usage of Doxy for their scheduled telemedicine appointments.
  • Books cases based on level of difficultly at the hospital in respect to acuity of cases in relationship to Neurointerventional radiologist’s schedule in coordination with anesthesia and neurosurgery/other disciplines as needed.
  • Flexibility due to ever-changing neuroradiologist schedule and need for coordination with other disciplines’ availabilities. Able to cancel or reschedule clinic to accommodate emergencies.
  • Work order lists on ARV to assist in scheduling pending procedures and follow-up’s.
  • Maintain excellent professional relationship with CINJ and subspecialized referring physician office staff and the Special Procedures Department at RWJ.
  • Maintains knowledge of procedure and protocol to assist the technologist or radiologist with the procedure including patient preparation.
  • Obtain clinical information, reports or images prior to the procedure.
  • Must be able to explain procedures to patient.
  • Time sensitive Dual Antiplatelet therapy management (Plavix/ASA) initiation, monitoring and adjustment based on sub specific lab data (Verify Now Lab Test) from the lab at RWJ.
  • Continual monitoring of medications /lab values to adjust and maintain. Assess and report to Chief Administrative RN and/or Neurointerventional radiologist patients that are non-responders and need to start on substitute meds such as Brilinta /Eliquis.

  • High School Graduate
  • Medical Assistant (Certification preferred but not required) 

University Radiology offers a comprehensive benefits program including medical, dental and life insurance, 401k/pension, and profit-sharing plans, generous paid time off policy and more.


From $22/hr 

Join our growing team!

University Radiology  is an Equal Opportunity Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

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