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Pre Certification Coordinator Jobs (NOW HIRING)

Washington University of St. Louis

$21.33 - $31.98/hr

Maintains written log of all pre-certifications in process; notifies hospital utilization/billing department of pre-certification. * Documents when pre-certification is received from insurance ...

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 Jul 17, 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.
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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, 18% Part Time, 1% Temporary, and 6% 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, CEP Orthopedics

Pre-Certification Coordinator, CEP Orthopedics

Carolinaeast Medical Center

New Bern, NC • On-site

Full-time

Posted 11 days ago

CarolinaEast Health System rating

5.6

Company rating: 5.6 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

798th of 886 rated healthcare providers

Job description

Job Summary: The Pre-Certification Coordinator obtains insurance authorization for required patient encounters. Additionally, the Pre-Certification Coordinator delivers the Important Medicare Message to the patient.

About CarolinaEast Health System

CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region. At the heart of our system is a 350-bed, full-service medical center equipped with a comprehensive range of inpatient and outpatient services, utilizing the latest medical technologies. We employ over 3,200 dedicated team members and operate physician practices across various specialties in four counties. Our employees foster a culture of excellence that ensures our patients receive the same high level of care found at larger medical centers, all while maintaining a friendly, community-centered atmosphere throughout our facilities. CarolinaEast offers a robust benefits package to all full-time employees, as well as benefits for part-time plus and part-time staff. We are proud to be the first medical center in North Carolina recognized as a Cardiovascular Center of Excellence by the American College of Cardiology and the American Heart Association. Additionally, we are honored to be named one of America's Best-In-State Hospitals by Newsweek, among numerous other prestigious accolades.

CarolinaEast Physicians is made up of over 150 physicians, and mid-level providers who provide care to patients spanning four eastern North Carolina Counties. We have specialties including Primary Care, Pediatrics, Rheumatology, Cardiology, Pulmonology, Neurology, Podiatry, Endocrinology, Cardiovascular Surgery, Otolaryngology, General Surgery, Oncology, Urology, Physical Medicine and Rehab, Orthopedics, Psychiatry, and Gastroenterology.

Minimum Requirements:

  • Must be a high school graduate.
  • Minimum two years of experience in a health care setting performing related tasks.
  • Ability to work with a minimum supervision.
  • Attends department and organizational training as required and assigned by supervisor.
  • Familiar with medical terminology and healthcare insurance process. 
  • Ability to prioritize and multitask with a strong attention to detail. 
  • Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.

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