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Pre Certification Coordinator Jobs (NOW HIRING)

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Surgical Coordinator

Manhattan, NY · On-site

$21/hr

Surgical Coordinator Location: NYC, NY Duration: 03 months Contract Schedule: 9:00A - 5:00P (Mon ... Verify patient demographics and obtain insurance pre-certification for all surgeries and procedures.

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Pre Certification Coordinator information

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$19

$36

How much do pre certification coordinator jobs pay per hour?

As of Aug 20, 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 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.

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 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.

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.

More about Pre Certification Coordinator jobs

What cities are hiring for Pre Certification Coordinator jobs?

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What states have the most Pre Certification Coordinator jobs?

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What job categories do people searching Pre Certification Coordinator jobs look for?

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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, 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-Cert Coordinator - Clinic

Oklahoma Arthritis Center

Edmond, OK • On-site

$15.75 - $19.50/hr

Full-time

Medical

Re-posted 17 days ago

Job description

Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disability, veteran status, or any other legally protected status.

Job Summary:

Working as a part of the Clinic Financial Coordinator team, this employee will be responsible for reviewing eligibility and benefits, obtaining required referrals and/or authorization, communicating patient financial responsibility and performing all financial coordination functions for ancillary services. Additionally, this team member works closely with providers and other clinic staff to ensure that services are approved prior to the patient’s arrival.


Essential Functions:

  • Verifies benefits and eligibility to process patient benefits in a timely manner; including necessary prior authorizations.
  • Calculates patient due portions based on insurance verification.
  • Communicates with patient on their payment expectations.
  • Schedules appointments as needed.
  • Understands insurance carriers and their medical policies.
  • Processes all clinic referrals and authorizations for ancillary services including but not limited to: Radiology, Pain Management, and Neurology.
  • Reviews payment records for patients and third parties, ensuring fees are collected properly.
  • Answers phone calls and returning voicemails in a timely manner.
  • Checks and resolves assigned tasks in Electronic Health Record.
  • Adheres to compliance of OAC policies and standard operating procedures.
  • Sets the standard for the team with excellent patient care.
  • Is available to other team members to offer assistance, information, and directions.
  • Maintains open and positive lines of communication, and functionality.
  • Understands and adheres to HIPAA laws and regulations in compliance and patient confidentiality.

Performance Requirements:

Knowledge:

  • Knowledge of Commercial Insurance and Medical Policies.
  • Knowledge of Medicare, Medicaid, and third party vendors.
  • Knowledge of payer referrals, authorizations, and pre-determinations.
  • Proficient in Microsoft Office.

Skills:

  • Excellent customer service skills.
  • Analytical and problem solving skills.


Abilities:

  • Attention to detail.
  • Able to type 50 words per minute.
  • Office (Outlook, Word, Excel, PowerPoint).


Qualifications:

  • 1-2 years of experience with medical insurance, benefits verification, prior authorizations, medical billing, or a related field preferred.
  • Associate’s or Bachelor’s degree in healthcare, business, finance, other related field, or equivalent experience, a plus.
  • EHR system experience.

Physical Requirements:


  • Ability to work effectively in a fast-paced environment.

  • Physical ability to sit, perform data entry and view computer screen for long periods at a time.

  • Occasional exposure to communicable diseases and biohazards.

  • Daily standing, walking, bending, and maneuvering.

  • May require lifting up to 50 pounds or more to transfer and/or turn patient with and without assistive devices.

Travel Requirements: 

Travel may be required.


Scheduled Working Hours:

Normal work hours are 8:00 a.m. to 5:00 p.m., Monday through Thursday and 8:00 a.m. to 1:00 p.m. on Fridays. Hours may vary depending upon the needs of the position, department, and clinic.


Other Duties:

Please note this job description is not designed to cover or to contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change from time to time, with or without notice.


Equipment Operated:

Standard office equipment including: computers, printers, faxes, copiers, postage machine, etc.