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Medical Precertification Jobs (NOW HIRING)

OrthoAlaska LLC

Precertification Specialist

Anchorage, AK · On-site

$17.50 - $27/hr

Precertification Specialist, OPA Lake Otis, Full-time OrthoAlaska Salary Range: $17.50-$27.00 ... Medical and dental insurance coverage beginning within 30 days * Life insurance * Disability ...

Medical University of South Carolina

$16.25 - $20/hr

Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002349 CHSCorp - Precertification Unit Pay Rate Type Hourly Pay Grade Health-20 ...

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$45K

$95.6K

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How much do medical precertification jobs pay per year?

As of Jun 11, 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.

Precertification Specialist

OrthoAlaska LLC

Anchorage, AK • On-site

$17.50 - $27/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted yesterday

Job description

Precertification Specialist, OPA Lake Otis, Full-time

OrthoAlaska

Salary Range: $17.50-$27.00 hourly

Full-time Benefits:

  • Complimentary orthopedic and primary care at OPA and PCA
  • Medical and dental insurance coverage beginning within 30 days
  • Life insurance
  • Disability insurance
  • 401K
  • Profit sharing
  • Employee Assistance Program
  • Paid time off starting at three weeks per year
  • 7 paid holidays per year
  • Competitive pay and annual compensation reviews

Schedule: Monday-Friday, 08:00am-04:30pm

Your Role at OrthoAlaska:

As a Precertification Specialist at OrthoAlaska you will verify medical insurance benefits with third party payers for procedures and services requiring pre-certification and other related functions.

What You’ll Do:

  • Providing outstanding customer service to all patients.
  • Perform insurance verification and prior authorizations.
  • Verify overall health insurance benefits and prepare estimates.
  • Educate patients on insurance coverage limits and options.
  • Work closely with the billing and other departments providing services.
  • As needed compassionately discuss benefits and collect deposits towards procedures.
  • Respond timely to requests for benefits, authorizations and estimates for patient requests.

Why You’ll Excel in This Role:

  • You thrive in a fast-paced work environment and can handle multiple tasks at once.
  • You are familiar with CPT and ICD-10.
  • You have pleasant phone presentation and keen organizational skills.
  • You have knowledge of primary and secondary coordination of benefits
  • You have knowledge or insurance websites, and government program requirement
  • You work proactively for the good of the team and its commitment to patient centered care

Required Qualifications:

  • One year of customer service, preferably in the medical industry
  • High school diploma or equivalent

Preferred Qualifications:

  • Two (s) years medical office experience
  • Knowledge of insurance and billing processes

At OerthoAlaska, you will enjoy opportunities for professional growth in a collaborative environment and exposure to a full range of orthopedic care with orthopedic, injury walk-in, and rheumatology clinics, an imaging center, athletic training and physical, occupational and massage therapy.

Learn more about OrthoAlaska at www.OPAlaska.com.

FLSA status: Non-exempt

Candidates meeting the above skills and qualifications and desiring to be part of a patient-centered, professional environment are invited to apply.

OrthoAlaska is proud to provide equal employment opportunities to all applicants and employees without regard to race, color, ancestry, national origin, sex, sexual orientation, gender identity, marital status, religion, age, pregnancy, protected veteran status, disability, or other protected categories.

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