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Medical Precertification Jobs (NOW HIRING)

Temple University

Precertification Rep

Philadelphia, PA · On-site

$40K - $55K/yr

... precertification/authorization from all necessary payers to avoid delays in treatment/payment ... boundaries of medical science, and educating future healthcare professionals. Temple Health ...

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$45K

$95.6K

$180K

How much do medical precertification jobs pay per year?

As of Jun 10, 2026, the average yearly pay for medical precertification in the United States is $95,625.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,000.00 and $122,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medical Precertification Specialist, and why are they important?

To thrive as a Medical Precertification Specialist, you need strong knowledge of medical terminology, insurance guidelines, and healthcare documentation, usually supported by experience in medical billing or coding. Familiarity with precertification software, electronic health records (EHR) systems, and payer-specific portals is typically required. Attention to detail, effective communication, and problem-solving skills help navigate complex cases and coordinate with providers and insurers. These skills ensure timely authorization of procedures, reduce claim denials, and support efficient patient care delivery.

What are some common challenges faced by professionals in Medical Precertification, and how can they be managed?

Professionals in Medical Precertification often encounter challenges such as managing high volumes of authorization requests, staying updated with ever-changing insurance policies, and communicating effectively with both healthcare providers and insurance payers. To address these, strong organizational skills and attention to detail are essential, as well as ongoing training on policy updates. Building collaborative relationships with clinical staff and maintaining clear documentation can greatly help in streamlining the approval process and reducing errors.

What is medical precertification?

Medical precertification is the process of obtaining approval from a health insurance company before a patient receives certain medical services, procedures, or medications. This process ensures that the proposed care is medically necessary and covered under the patient's insurance plan. Without precertification, insurance may deny payment for the service, leaving the patient responsible for the full cost. Medical precertification is typically handled by healthcare providers or specialists who communicate with insurance companies on behalf of patients. It helps control healthcare costs and ensures appropriate use of medical resources.

What is the difference between Medical Precertification vs Medical Billing Specialist?

AspectMedical PrecertificationMedical Billing Specialist
CredentialsOften requires knowledge of insurance policies and certifications in healthcare administrationTypically requires coding certifications and billing training
Work EnvironmentHealthcare facilities, insurance companies, or third-party payersMedical offices, hospitals, or billing companies
Primary ResponsibilitiesObtaining prior approvals for procedures and treatmentsProcessing claims, coding, and billing patients and insurers

Medical Precertification focuses on securing approval for medical procedures before treatment, while Medical Billing Specialists handle the financial aspects after services are provided. Both roles are essential in healthcare administration but serve different stages of patient care and reimbursement processes.

More about Medical Precertification jobs
What states have the most Medical Precertification jobs? States with the most job openings for Medical Precertification jobs include:
What job categories do people searching Medical Precertification jobs look for? The top searched job categories for Medical Precertification jobs are:
Medical Precertification jobs near you
Infographic showing various Medical Precertification job openings in the United States as of June 2026, with employment types broken down into 2% Locum Tenens, 96% Part Time, and 2% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $95,625 per year, or $46 per hour.
Medical Precertification Coordinator

Medical Precertification Coordinator

Snelling Baton Rouge

Baton Rouge, LA

$16 - $17/hr

Full-time

Medical

Posted 2 days ago

Job description

Medical Precertification Coordinator
Snelling Staffing has an opening for a Medical Precertification Coordinator with a specialty medical clinic located in Baton Rouge! This position is full time. This position pays $16-$17/hr depending on experience.
Essential Duties and Responsibilities:
  • Contacting health insurance for prior authorizations for surgery
  • Verifying patient benefits
  • Calculating pre-collection costs based on Clinic's contracted rates
  • Staying up to date on precertification requirements and insurance company updates
Requirements:
  • High school diploma or equivalent
  • 1+ years of medical insurance experience preferred
  • 1+ years experience in collections or billing preferred
  • Knowledge of insurance and medical terminology
  • Strong data entry skills
  • Strong organizational skills and attention to detail
SNELLING STAFFING is full-service recruiting company placing candidates in the right careers for over 75 years. Interested and qualified candidates for the Medical Precertification Coordinator position should submit their resume for immediate consideration. APPLY NOW and email your resume to veronica@snellingbatonrouge.com