Summary 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 ...
Summary 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 ...
Precertification Specialist
Houston, TX · On-site
Precertification Specialist SUN Behavioral Houston - Houston, TX 77054 Overview Position Type ... Demonstrate and apply knowledge of medical terminology, high proficiency of general inpatient ...
Precertification Specialist
Houston, TX · On-site
Precertification Specialist SUN Behavioral Houston - Houston, TX 77054 Overview Position Type ... Demonstrate and apply knowledge of medical terminology, high proficiency of general inpatient ...
INSURANCE SPECIALIST II
Dallas, TX · On-site
$16.75 - $20.75/hr
Experience 3 years of benefit verification/authorization experience or equivalent and 1 year Customer Service/Customer service and 3 years Clinical / Medical/Precertification/Predetermination ...
INSURANCE SPECIALIST II
Dallas, TX · On-site
$16.75 - $20.75/hr
Experience 3 years of benefit verification/authorization experience or equivalent and 1 year Customer Service/Customer service and 3 years Clinical / Medical/Precertification/Predetermination ...
$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 ...
$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 ...
Summary 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 ...
Summary 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 ...
Precertification Specialist I
$18 - $21/hr
... Job Title Precertification Specialist I Functional Area Front Office - Patient Services City ... Working knowledge of medical billing and managed care * Background with eClinicalWorks Practice ...
Precertification Specialist I
$18 - $21/hr
... Job Title Precertification Specialist I Functional Area Front Office - Patient Services City ... Working knowledge of medical billing and managed care * Background with eClinicalWorks Practice ...
CLN Precertification Rep, Marshall Medical Centers South- The Cancer Center, Full Time, 1st Shift
Albertville, AL · On-site
$12.75 - $16.50/hr
The Precertification specialist complies with all policies and procedures for Marshall Medical Centers, as well as all departmental policies and procedure. Qualifications EDUCATION: High School ...
CLN Precertification Rep, Marshall Medical Centers South- The Cancer Center, Full Time, 1st Shift
Albertville, AL · On-site
$12.75 - $16.50/hr
The Precertification specialist complies with all policies and procedures for Marshall Medical Centers, as well as all departmental policies and procedure. Qualifications EDUCATION: High School ...
Ensures the effective and efficient use of services, monitors appropriateness and medical necessity ... precertification/authorization for outpatient diagnostic testing and other services as needed.
Ensures the effective and efficient use of services, monitors appropriateness and medical necessity ... precertification/authorization for outpatient diagnostic testing and other services as needed.
Ensures the effective and efficient use of services, monitors appropriateness and medical necessity ... precertification/authorization for outpatient diagnostic testing and other services as needed.
Ensures the effective and efficient use of services, monitors appropriateness and medical necessity ... precertification/authorization for outpatient diagnostic testing and other services as needed.
Ensures the effective and efficient use of services, monitors appropriateness and medical necessity ... precertification/authorization for outpatient diagnostic testing and other services as needed.
Ensures the effective and efficient use of services, monitors appropriateness and medical necessity ... precertification/authorization for outpatient diagnostic testing and other services as needed.
Ensures the effective and efficient use of services, monitors appropriateness and medical necessity ... precertification/authorization for outpatient diagnostic testing and other services as needed.
Ensures the effective and efficient use of services, monitors appropriateness and medical necessity ... precertification/authorization for outpatient diagnostic testing and other services as needed.
INSURANCE PRECERTIFICATION MVA/WC/OON
Fairfield, NJ · On-site
$25 - $29/hr
Health insurance * Paid time off Job Overview MUST HAVE EXPERIENCE WITH PRECERTIFICATION ... PIP and major medical health insurances. The ideal candidate will play a crucial role in supporting ...
Quick apply
INSURANCE PRECERTIFICATION MVA/WC/OON
Fairfield, NJ · On-site
$25 - $29/hr
Health insurance * Paid time off Job Overview MUST HAVE EXPERIENCE WITH PRECERTIFICATION ... PIP and major medical health insurances. The ideal candidate will play a crucial role in supporting ...
PRECERTIFICATION PRIOR AUTHORIZATION SPEC, SPN-SCHEDULING
Valdosta, GA · On-site
$13.25 - $18/hr
The precertification and/or authorization must be obtained on each patient; preferably prior to ... Prior use of medical office software database preferred. Must possess excellent communication and ...
PRECERTIFICATION PRIOR AUTHORIZATION SPEC, SPN-SCHEDULING
Valdosta, GA · On-site
$13.25 - $18/hr
The precertification and/or authorization must be obtained on each patient; preferably prior to ... Prior use of medical office software database preferred. Must possess excellent communication and ...
CLN Precertification Rep RN, Marshall Medical Center South- The Cancer Center, Full Time 1st Shift
Albertville, AL · On-site
The Precertification specialist complies with all policies and procedures for Marshall Medical Centers, as well as all departmental policies and procedure. Qualifications EDUCATION: High School ...
CLN Precertification Rep RN, Marshall Medical Center South- The Cancer Center, Full Time 1st Shift
Albertville, AL · On-site
The Precertification specialist complies with all policies and procedures for Marshall Medical Centers, as well as all departmental policies and procedure. Qualifications EDUCATION: High School ...
Prior use of medical office software database preferred. * Must possess excellent communication and interpersonal skills, and must be able work effectively as part of a team and respond well to ...
Prior use of medical office software database preferred. * Must possess excellent communication and interpersonal skills, and must be able work effectively as part of a team and respond well to ...
Summary 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 ...
Summary 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 ...
Precertification & Pre-Service Appeals Nurse
Princeton, NJ · On-site
$65K - $85K/yr
Your clinical expertise will assist with medical management of PIP claims and directly prevent administrative delays to stay in compliance with New Jersey precertification guidelines. Essential Job ...
Quick apply
Precertification & Pre-Service Appeals Nurse
Princeton, NJ · On-site
$65K - $85K/yr
Your clinical expertise will assist with medical management of PIP claims and directly prevent administrative delays to stay in compliance with New Jersey precertification guidelines. Essential Job ...
Precertification Representative - Marshall Internal Medicine
Huntington, WV · On-site
$34K - $46K/yr
Performs the precertification process for scheduled procedures as necessary, including ... Completion of a certification program such as Medical Assistant, Nurse Assistant, or equivalent ...
Precertification Representative - Marshall Internal Medicine
Huntington, WV · On-site
$34K - $46K/yr
Performs the precertification process for scheduled procedures as necessary, including ... Completion of a certification program such as Medical Assistant, Nurse Assistant, or equivalent ...
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 ...
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 ...
... Precertification/verification and billing information on inpatient and outpatient account ... Prefer familiarity with medical terminology. Prefer two years experience in the clerical and public ...
... Precertification/verification and billing information on inpatient and outpatient account ... Prefer familiarity with medical terminology. Prefer two years experience in the clerical and public ...
Medical Precertification information
See salary details
$55.3K is the 25th percentile. Wages below this are outliers.
$45K - $57.3K
30% of jobs
$57.3K - $69.5K
9% of jobs
$69.5K - $81.8K
11% of jobs
The median wage is $82.7K / yr.
$81.8K - $94.1K
15% of jobs
$94.1K - $106.4K
9% of jobs
$111.5K is the 75th percentile. Wages above this are outliers.
$106.4K - $118.6K
6% of jobs
$118.6K - $130.9K
6% of jobs
$130.9K - $143.2K
3% of jobs
$143.2K - $155.5K
3% of jobs
$155.5K - $167.7K
4% of jobs
$167.7K - $180K
4% of jobs
$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?
| Aspect | Medical Precertification | Medical Billing Specialist |
|---|---|---|
| Credentials | Often requires knowledge of insurance policies and certifications in healthcare administration | Typically requires coding certifications and billing training |
| Work Environment | Healthcare facilities, insurance companies, or third-party payers | Medical offices, hospitals, or billing companies |
| Primary Responsibilities | Obtaining prior approvals for procedures and treatments | Processing 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:
Precertification/Authorization Specialist
Charleston, SC • On-site
Full-time
Re-posted 9 days ago
Job description
Job Description Summary
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
Scheduled Weekly Hours
40
Work Shift
Job Description
Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services. This individual determines which patient services have third party payer requirements and is responsible for obtaining the necessary authorizations for care, via phone, fax, or payer websites. The Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned.
Additional Job Description
Education: High School Degree or Equivalent Work Experience: 1 year
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
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
Scheduled Weekly Hours
40
Work Shift
Job Description
Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services. This individual determines which patient services have third party payer requirements and is responsible for obtaining the necessary authorizations for care, via phone, fax, or payer websites. The Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned.
Additional Job Description
Education: High School Degree or Equivalent Work Experience: 1 year
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
About MUSC Health
Sourced by ZipRecruiter
MUSC is located in Charleston, SC, frequently named one of the best places in America to live. If charming, historic, vibrant, cultural, and coastal are adjectives that you find appealing, it's all here. In Charleston, you might find yourself dining at a world class restaurant tonight and relaxing on a boat as you explore our many waterways tomorrow. You might stroll along cobblestone streets, amidst centuries old homes by day and attend a jazz concert by night. Charleston is a place where you can live your life to its fullest.
Industry
Hospitality services
Company size
10,000+ Employees
Headquarters location
Charleston, SC, US
Year founded
1824