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Pre Certification Coordinator Jobs (NOW HIRING)

Mercy

Pre Certification Coordinator

... coordinates as needed with insurance companies to ensure timely reimbursement.Serves as a mentor to fellow Patient Benefit co-workers. Position Details: Experience and Education Requirements ...

Washington University of St. Louis

$23.63 - $35.49/hr

Documents when pre-certification is received from insurance companies. * Performs other duties as assigned. Working Conditions: Job Location/Working Conditions: * Normal working environment. * Non ...

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Pre Certification Coordinator information

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$10

$19

$36

How much do pre certification coordinator jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for pre certification coordinator in the United States is $19.87, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a pre certification coordinator, and why are they important?

To thrive as a Pre Certification Coordinator, you need a solid understanding of insurance processes, medical terminology, and prior authorization procedures, often supported by a background in healthcare administration or a related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is typically required. Excellent organizational skills, attention to detail, and effective communication are crucial soft skills for managing high volumes of requests and collaborating with healthcare providers and payers. These competencies ensure accurate, timely approvals that optimize patient care and reimbursement processes.

How does a pre certification coordinator typically interact with healthcare providers and insurance companies?

As a Pre Certification Coordinator, you'll frequently communicate with both healthcare providers and insurance companies to ensure that required pre-authorizations for medical procedures are obtained promptly. This involves verifying patient coverage, gathering necessary clinical documentation, and following up on pending authorizations. Strong organizational and communication skills are essential, as you may need to clarify requirements with providers or resolve discrepancies with insurance representatives. Building positive relationships and maintaining clear records can help streamline the approval process and minimize delays for patients.

What is a pre certification coordinator?

Pre Certification Coordinators are healthcare professionals responsible for obtaining prior authorizations and ensuring that medical procedures, treatments, or hospital admissions are approved by insurance providers before services are rendered. They work closely with healthcare providers, patients, and insurance companies to verify coverage, gather necessary documentation, and facilitate timely approvals. Their work helps reduce claim denials, ensures compliance with insurance requirements, and supports smooth patient care delivery.

What is the difference between Pre Certification Coordinator vs Certification Specialist?

AspectPre Certification CoordinatorCertification Specialist
Required CredentialsTypically requires healthcare or industry-specific certifications, knowledge of certification processesOften requires similar certifications, with additional focus on certification standards and compliance
Work EnvironmentHealthcare facilities, insurance companies, or industry organizationsRegulatory agencies, healthcare organizations, or certification bodies
Employer & Industry UsageUsed in healthcare, construction, or manufacturing sectors for pre-approval processesCommon in healthcare, quality assurance, and compliance sectors

The Pre Certification Coordinator and Certification Specialist roles both involve certification processes, but the Coordinator typically manages pre-approval activities, while the Specialist focuses on certification standards and compliance. Both roles require similar credentials and are found in related industries, often overlapping in healthcare and regulatory environments.

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What cities are hiring for Pre Certification Coordinator jobs?

Cities with the most Pre Certification Coordinator job openings:

What states have the most Pre Certification Coordinator jobs?

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Pre Certification Coordinator jobs near you
Infographic showing various Pre Certification Coordinator job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 74% Full Time, 17% Part Time, and 7% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $41,322 per year, or $19.9 per hour.

Pre-Certification Coordinator 2

The Ohio State University

Columbus, OH • On-site, Remote

$18 - $22.75/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these frequently asked questions.
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
  • Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
  • Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.

Job Title:
Pre-Certification Coordinator 2
Department:
Health System Shared Services | Revenue Cycle Clinical Support
Revenue Cycle Pre-certification verifies benefits for outpatient, inpatient and ambulatory surgery services, as well as obtaining prior authorization for visits, procedures and hospitalizations, pre-approval, PCP referrals, predeterminations for all electively scheduled admissions, outpatient surgeries and other designated outpatient visits.
Position Summary
The Pre-certification Coordinator is an expert in product, process or service line area (physician appointment scheduling, OR/admission, full service scheduling; pre-registration and registration; insurance verification, and patient liability determination and communication). This position is responsible for providing consumers (clinical staff and patients) with accurate, up-to-date information regarding products, services and general procedures. Schedule return appointments and/or other appointments as assigned. Assures accurate appointment, demographic and insurance information is gathered to support clinical and financial needs including changes to insurance or other patient information. Provides support to physicians and consumer by coordinating their requests and satisfying their needs in one transaction. Solves routine and complex customer problems and knows where to direct customers to address specific questions. Communicates regularly with clinical staff, medical secretaries and staff within the product/service line to ensure customer and department staff needs are met. Always creates a positive first impression. Must be able to use a variety of software packages which include the Electronic Medical record, scheduling and registration systems, ABN, eligibility, document management software, and etc.
MINIMUM REQUIRED QUALIFICATIONS
High School diploma or GED. Certification or vocational training may be preferred. 1 year of relevant experience required. 2-4 years of relevant experience preferred.
Additional Information:
Location:
Remote Location
Position Type:
Regular
Scheduled Hours:
40
Shift:
First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.

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