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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 ...

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL · On-site

$18.25 - $22.75/hr

Pre-Certification Specialist About Us: At The Center for Pain, we take pride in delivering top-notch healthcare services in a friendly and efficient environment. Our dedicated team of professionals ...

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL

$18.25 - $22.75/hr

Pre-Certification Specialist About Us: At The Center for Pain, we take pride in delivering top-notch healthcare services in a friendly and efficient environment. Our dedicated team of professionals ...

KureSmart

Pre-Cert Coordinator

Montgomery, AL

$18.25 - $22.75/hr

Pre-Certification Specialist About Us: At The Center for Pain, we take pride in delivering top-notch healthcare services in a friendly and efficient environment. Our dedicated team of professionals ...

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL · On-site

$15.50 - $19.25/hr

Pre-Certification Specialist About Us: At The Center for Pain, we take pride in delivering top-notch healthcare services in a friendly and efficient environment. Our dedicated team of professionals ...

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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 Jul 29, 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?

A pre-certification coordinator is a healthcare professional responsible for obtaining prior authorization from insurance companies before certain medical procedures or treatments are performed. They review patient information, submit necessary documentation, and communicate with insurance providers to ensure coverage approval, often using specialized billing and authorization software.

What is the highest paying job as a coordinator?

The highest paying coordinator roles are often in specialized fields such as project management, healthcare, or IT, where certifications like PMP or advanced technical skills are valued. These positions can offer salaries exceeding $80,000 annually, especially with experience and additional qualifications.

What are Pre Certification Coordinators?

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 jobs pay 4000 a week without a degree?

A Pre Certification Coordinator typically earns less than $4,000 weekly, as this role usually offers annual salaries below $200,000. High-paying jobs that can reach $4,000 a week without a degree often include roles like commercial pilot, real estate broker, or sales manager, which may require specialized skills, licenses, or experience rather than formal degrees.

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.

What is a certification coordinator?

A certification coordinator is a professional responsible for managing and overseeing the certification process within an organization. They ensure compliance with certification standards, prepare documentation, and coordinate with certifying bodies to facilitate timely certification approvals. This role often requires attention to detail, knowledge of industry standards, and strong organizational skills.
More about Pre Certification Coordinator jobs
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? States with the most job openings for Pre Certification Coordinator jobs include:
What job categories do people searching Pre Certification Coordinator jobs look for? The top searched job categories for Pre Certification Coordinator jobs are:
Pre Certification Coordinator jobs near you
Infographic showing various Pre Certification Coordinator job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 73% Full Time, 17% Part Time, and 8% 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

Mercy

Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

Mercy rating

6.4

Company rating: 6.4 out of 10

Based on 206 frontline employees who took The Breakroom Quiz

643rd of 890 rated healthcare providers

Job description

Find your calling at Mercy!
The Patient Benefit Representative is responsible for facilitating all components related to insurance and benefit analysis prior to the delivery of services. This position must have a strong understanding of various insurances and stay abreast of payor requirements.
The Patient Benefit Representative is responsible for reviewing patient appointments and/or admissions, obtaining information related to out of pocket financial responsibility, securing necessary authorizations, performing insurance management, securing insurance referral requirements and 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
Demonstration of understanding of all that level 1 is responsible for. Experience with insurance terminology, medical terminology, and medical insurance plans. They demonstrate the ability to complete financial clearance (Mercy payment plan, EPPC, bad debt resolution, etc.).
Minimum Skills, Knowledge and Ability Requirements
- Ability to communicate effectively both orally and in writing, excellent telephone etiquette required.
- Ability to establish and maintain effective working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies.
- Strong interpersonal skills.
- Strong organizational skills; attention to detail.
- Ability to work under stress, meet deadlines and perform all daily assignments with consistent accuracy.
Physical Requirements:
• Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis.
• Position requires prolonged standing and walking during each shift.
• Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties.
Why Mercy?
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

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About Mercy

Sourced by ZipRecruiter

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Chesterfield, MO, US

Year founded

1827

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