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Medical Precertification Jobs (NOW HIRING)

Southern Bone

Precertification Specialist

Hattiesburg, MS · On-site

$16.75 - $20.75/hr

About the Role: The MRI Precertification Specialist plays a critical role in the healthcare ... Strong knowledge of medical terminology and healthcare insurance processes. * Proficiency with ...

Addison Group

Precertification Specialist

Smyrna, GA · On-site

$22/hr

Precertification Specialist Location: Smyrna, GA Compensation: $22.00 per hour Employment Type ... This position is eligible for medical, dental, vision, and 401(k) benefits. About the Opportunity ...

Addison Group

Precertification Specialist

Smyrna, GA · On-site

$22/hr

Job Title: Precertification Specialist Location: Smyrna, GA Compensation: $22.00 per hour ... This position is eligible for medical, dental, vision, and 401(k) benefits. About the Opportunity ...

Davis Eye Center

Precertification Specialist

Cuyahoga Falls, OH · On-site

$15.25 - $18.75/hr

Surgical Services Precertification Specialist At Davis Eye Center, our mission is to improve the ... Maintain accurate documentation within the electronic medical record and other systems. * Monitor ...

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Medical Precertification information

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$45K

$95.6K

$180K

How much do medical precertification jobs pay per year?

As of Aug 12, 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?

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 August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $95,625 per year, or $46 per hour.

Precertification Specialist

Southern Bone and Joint Specialists P.A

Hattiesburg, MS • On-site

$16.75 - $20.75/hr

Other

Medical

Posted 8 days ago

Job description

MRI Precertification Specialist

The MRI Precertification Specialist plays a critical role in the healthcare administration process by ensuring that all necessary authorizations and approvals are obtained prior to patient services. This position is responsible for coordinating with healthcare providers, insurance companies, and patients to verify coverage and secure precertification for MRI. The specialist helps to minimize delays in patient care by proactively managing documentation and communication workflows. Ultimately, the Precertification Specialist contributes to the smooth operation of healthcare services and enhances patient satisfaction through efficient authorization processes.

Minimum Qualifications:

  • High school diploma or equivalent; associate degree or higher preferred.
  • Experience working in healthcare administration, medical billing, or insurance verification.
  • Strong knowledge of medical terminology and healthcare insurance processes.
  • Proficiency with electronic health records (EHR) systems and insurance portals.
  • Excellent communication and organizational skills.

Responsibilities:

  • Review and analyze patient insurance benefits to determine coverage and precertification requirements.
  • Initiate and follow up on precertification requests with insurance companies and healthcare providers.
  • Maintain detailed records of all precertification activities and communications in compliance with regulatory standards.
  • Collaborate with clinical staff to gather necessary medical documentation and ensure timely submission of authorization requests.
  • Resolve any issues or discrepancies related to insurance authorizations to prevent delays in patient care.

Monday-Friday, 8-5

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