Summary Primary duty is to obtain pre-certification and prior authorization as needed for procedures ordered by PPG Cardiology Physicians. Communicates with insurance companies, physician offices ...
Summary Primary duty is to obtain pre-certification and prior authorization as needed for procedures ordered by PPG Cardiology Physicians. Communicates with insurance companies, physician offices ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Representative
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Imaging Clerical Rep, Part-Time, Days
Elkhart, IN · On-site
$16 - $21.75/hr
Obtaining pre-certification information from the insurance company's pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.). (applies ...
Imaging Clerical Rep, Part-Time, Days
Elkhart, IN · On-site
$16 - $21.75/hr
Obtaining pre-certification information from the insurance company's pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.). (applies ...
Imaging Clerical Rep (MHO)
South Bend, IN · On-site
$16.75 - $22.50/hr
Obtaining pre-certification information from the insurance company's pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.). (Applies ...
Imaging Clerical Rep (MHO)
South Bend, IN · On-site
$16.75 - $22.50/hr
Obtaining pre-certification information from the insurance company's pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.). (Applies ...
Imaging Clerical Rep (MHO)
South Bend, IN · On-site
$16.75 - $22.50/hr
Obtaining pre-certification information from the insurance company's pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.). (Applies ...
Imaging Clerical Rep (MHO)
South Bend, IN · On-site
$16.75 - $22.50/hr
Obtaining pre-certification information from the insurance company's pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.). (Applies ...
Patient Access Insurance Specialist
South Bend, IN · On-site
$16.75 - $20.50/hr
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Insurance Specialist
South Bend, IN · On-site
$16.75 - $20.50/hr
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Imaging Clerical Rep, Part-Time, Days
$16 - $21.75/hr
Obtaining pre-certification information from the insurance company's pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.). (applies ...
Imaging Clerical Rep, Part-Time, Days
$16 - $21.75/hr
Obtaining pre-certification information from the insurance company's pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.). (applies ...
Patient Access Insurance Specialist
$16.75 - $20.50/hr
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Patient Access Insurance Specialist
$16.75 - $20.50/hr
Explaining about the possible need to pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy. * Verifying and documenting ...
Explaining about the possible need to pre-certify with the patient's insurance carrier to ensure maximum coverage to the limits of the insured's insurance policy. * Create patient estimate and ...
Explaining about the possible need to pre-certify with the patient's insurance carrier to ensure maximum coverage to the limits of the insured's insurance policy. * Create patient estimate and ...
Pt Serv Rep (MHO)
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier to ensure maximum coverage to the limits of the insured's insurance policy. * Create patient estimate and ...
Pt Serv Rep (MHO)
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier to ensure maximum coverage to the limits of the insured's insurance policy. * Create patient estimate and ...
Explaining about the possible need to pre-certify with the patient's insurance carrier to ensure maximum coverage to the limits of the insured's insurance policy. * Create patient estimate and ...
Explaining about the possible need to pre-certify with the patient's insurance carrier to ensure maximum coverage to the limits of the insured's insurance policy. * Create patient estimate and ...
Pt Serv Rep (MHO)
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier to ensure maximum coverage to the limits of the insured's insurance policy. * Create patient estimate and ...
Pt Serv Rep (MHO)
South Bend, IN · On-site
$500/wk
Explaining about the possible need to pre-certify with the patient's insurance carrier to ensure maximum coverage to the limits of the insured's insurance policy. * Create patient estimate and ...
Pre Certification information
See Indiana salary details
$11.56 - $16.96
15% of jobs
$21.13 is the 25th percentile. Wages below this are outliers.
$16.96 - $22.36
13% of jobs
$22.36 - $27.77
15% of jobs
The median wage is $30.11 / hr.
$27.77 - $33.17
16% of jobs
$33.17 - $38.57
9% of jobs
$38.57 - $43.97
6% of jobs
$44.78 is the 75th percentile. Wages above this are outliers.
$43.97 - $49.37
5% of jobs
$49.37 - $54.77
5% of jobs
$54.77 - $60.18
5% of jobs
$60.18 - $65.58
6% of jobs
$65.58 - $70.98
3% of jobs
$11
$36
$70
How much do pre certification jobs pay per hour?
What is a pre certification specialist?
What is the difference between Pre Certification vs Certified Technician?
| Aspect | Pre Certification | Certified Technician |
|---|---|---|
| Required Credentials | Typically no formal certification required, often an entry-level or preparatory status | Requires specific certifications or licenses, demonstrating proficiency |
| Work Environment | Training settings, entry-level roles, or preparatory stages | Active work in the field, performing technical tasks |
| Employer Usage | Used to indicate readiness for certification or entry-level status | Indicates a qualified professional with verified skills |
Pre Certification generally refers to an initial or preparatory status before obtaining full certification. Certified Technician signifies a professional who has met certification requirements and is qualified to perform technical tasks independently. The main difference lies in certification status and work readiness, with Pre Certification serving as a stepping stone towards full certification.
What are the key skills and qualifications needed to thrive as a pre certification specialist, and why are they important?
What are some common challenges faced in a pre certification role and how can they be managed effectively?

Full-time
PTO
This job post has expired today. Applications are no longer accepted.
Parkview Health rating
7.2
Based on 276 frontline employees who took The Breakroom Quiz
343rd of 887 rated healthcare providers
Job description
Summary
Primary duty is to obtain pre-certification and prior authorization as needed for procedures ordered by PPG Cardiology Physicians. Communicates with insurance companies, physician offices, patients, and nursing staff in order to obtain all information needed for the approval of the authorization for the ordered/scheduled procedure or test. Must be able to identify the testing and insurance companies that require prior authorization. Secondary duty is to complete and mail/fax all short term/long term disability forms, FMLA, CDL recertification and many other forms for the entire practice.
Education
Must be a high school graduate or equivalent/GED. Medical Terminology required.
Licensure/Certification
N/A
Experience
Must have at least 3 years experience with physician insurance/billing department. Minimum of 3 years experience in a health care setting.
Other Qualifications
In depth knowledge of the insurance requirements for pre-certifying tests and procedures. Familiarity with clinical documentation is essential. Must possess basic computer knowledge and skills. Must have excellent verbal and written communication skills, very organized and detail oriented with the ability to multi-task and prioritize.
Why Parkview?
We have everything you’re looking for in a career; great compensation and benefits; skill development and career advancement programs and more. At Parkview, we are committed to providing excellent care to each patient within our clinics and medical practices. The success of this mission begins with care team members like you.
- Benefits:aHealth benefits, paid time off, employee assistance, community vendor discounts, payroll deduction options
What Parkview Health employees say
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Benefits
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About Parkview Health
Sourced by ZipRecruiter
Parkview Health, headquartered in Fort Wayne, IN, US, operates within the healthcare industry providing a wide range of medical services and community wellness programs. These include primary care, specialty health services, emergency care, rehabilitation, and home health services among others. The non-profit health system was founded in 1878 and continues to serve its surrounding communities with a dedication to quality health and wellness.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Fort Wayne, IN, US
Year founded
1995