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Medical Precertification Jobs (NOW HIRING)

UT Southwestern Medical Center

Insurance Specialist I

Dallas, TX · On-site

$16.75 - $20.75/hr

... Medical/Precertification/Predetermination/Authorizations/Verification and 4 years Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User and 4 years Technical - Desktop Tools/Microsoft Word/4 ...

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UT Southwestern Medical Center

Insurance Specialist I

Dallas, TX · On-site

$16.75 - $20.75/hr

... Medical/Precertification/Predetermination/Authorizations/Verification and 4 years Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User and 4 years Technical - Desktop Tools/Microsoft Word/4 ...

New

UT Southwestern Medical Center

Insurance Specialist I

Dallas, TX · On-site

$16.75 - $20.75/hr

... Medical/Precertification/Predetermination/Authorizations/Verification and 4 years Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User and 4 years Technical - Desktop Tools/Microsoft Word/4 ...

New

U2107

Insurance Specialist I

Dallas, TX · On-site

$16.75 - $20.75/hr

... Medical/Precertification/Predetermination/Authorizations/Verification and 4 years Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User and 4 years Technical - Desktop Tools/Microsoft Word/4 ...

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Medical Precertification information

See salary details

$45K

$95.6K

$180K

How much do medical precertification jobs pay per year?

As of Jul 22, 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 July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $95,625 per year, or $46 per hour.
Precertification Specialist - UT Gastroenterology

Precertification Specialist - UT Gastroenterology

University Physicians Association, Inc.

Knoxville, TN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Job Type
Full-time
Description
University Physicians' Association (UPA) is seeking a detail-oriented and customer-focused Precertification Specialist to join our UT Gastroenterology team. This is a fast-paced, specialty practice located within UT Medical Center, offering the opportunity to play a key role in ensuring patients receive timely, seamless care.
Position Summary
The Precertification Specialist serves as a vital liaison between patients, providers, and insurance companies. This role is responsible for verifying insurance benefits and eligibility, obtaining necessary authorizations, preparing procedure codes and estimates, and collecting prepayments when applicable-all with a strong focus on accuracy and patient service.
Key Responsibilities
  • Monitor scheduled procedures and maintain an organized tracking list for precertification status
  • Verify insurance eligibility and benefits via phone and online portals
  • Obtain prior authorizations according to payer requirements
  • Update insurance and policy details in the NextGen system
  • Confirm receipt of all required authorization documentation prior to procedures
  • Assign appropriate ICD-10 and CPT codes
  • Communicate effectively with clinical and administrative staff to support timely procedures
  • Perform additional duties as assigned to support the practice
Why Join UPA?
UPA offers a supportive team environment along with a comprehensive benefits package, including:
  • Paid Time Off (PTO), Paid Holidays, and Sick Leave
  • Medical, Dental, and Vision Insurance
  • Short-Term and Long-Term Disability
  • Life Insurance
  • 401(k) with company match and immediate vesting
  • Critical Illness coverage and more

If you enjoy working in healthcare, thrive in a detail-driven role, and value teamwork and stability, we'd love to hear from you!
Requirements
Education, Training, and Experience
  • Professional medical coding certification or a minimum of two years of related experience preferred
  • Insurance verification experience required
Skills, Knowledge, and Abilities
  • Maintains a professional and polished appearance
  • Strong verbal communication and interpersonal skills
  • Working knowledge of medical billing practices and managed care environments
  • Familiarity with a variety of insurance plans and payer types
  • Highly organized, detail-oriented, and self-motivated
  • Proficient in Microsoft Office and Windows-based applications

Apply