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Pre Certification Jobs in Ohio (NOW HIRING)

Pre-Certification Specialist

Boardman, OH · On-site

$17 - $22.50/hr

Pre-Certification Specialist Location: Southwoods Executive Centre - Boardman, Ohio About the Role Southwoods Health is seeking a detail-oriented Pre-Certification Specialist to join our growing team ...

Pre-Certification Specialist

Boardman, OH · On-site

$15 - $20/hr

Pre-Certification Specialist Location: Southwoods Executive Centre - Boardman, Ohio About the Role Southwoods Health is seeking a detail-oriented Pre-Certification Specialist to join our growing team ...

Admission Specialist

Middle Point, OH · On-site

$17.50 - $24/hr

This role is responsible for insurance verification, pre-certifications, fax processing, and collaborating closely with nursing and admissions staff to ensure a smooth patient intake experience. Key ...

$16.25 - $20/hr

Summary Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient ...

Primarily responsible for providing excellent customer service, patient registration, obtaining and verifying insurance benefits information and pre-certification, scheduling the patient, and other ...

PATIENT ACCESS SPEC

Centerville, OH · On-site

$16.25 - $21.50/hr

... obtaining a pre-certification when applicable while maintainingcompliance with regulatory requirements. Education Minimum Level ofEducation Required: High School completion / GED ...

PATIENT ACCESS SPEC

Centerville, OH · On-site

$16.25 - $21.50/hr

... pre-certification when applicable while maintaining compliance with regulatory requirements. Education Minimum Level of Education Required: High School completion / GED Additional requirements:

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Showing results 1-20

Pre Certification information

See Ohio salary details

$11

$35

$69

How much do pre certification jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for pre certification in Ohio is $35.57, according to ZipRecruiter salary data. Most workers in this role earn between $20.91 and $48.12 per hour, depending on experience, location, and employer.

What is a pre certification specialist?

A Pre Certification specialist is a healthcare professional responsible for obtaining approval from insurance companies before certain medical procedures, treatments, or hospital admissions. Their job involves verifying patient insurance coverage, submitting necessary documentation, and communicating with both healthcare providers and insurers to ensure services are authorized. This process helps prevent unexpected costs for patients and ensures compliance with insurance requirements. Pre Certification specialists play a crucial role in streamlining patient care and reducing claim denials.

What is the difference between Pre Certification vs Certified Technician?

AspectPre CertificationCertified Technician
Required CredentialsTypically no formal certification required, often an entry-level or preparatory statusRequires specific certifications or licenses, demonstrating proficiency
Work EnvironmentTraining settings, entry-level roles, or preparatory stagesActive work in the field, performing technical tasks
Employer UsageUsed to indicate readiness for certification or entry-level statusIndicates 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?

To thrive as a Pre-Certification Specialist, you need a solid understanding of medical terminology, insurance policies, and healthcare procedures, often supported by a background in healthcare administration or medical billing. Familiarity with pre-authorization systems, electronic health records (EHRs), and payer portals is typically required. Excellent attention to detail, organizational skills, and effective communication are crucial soft skills for this role. These competencies are essential to ensure accurate, timely insurance approvals and to facilitate uninterrupted patient care and reimbursement.

What are some common challenges faced in a pre certification role and how can they be managed effectively?

Professionals in Pre Certification often encounter challenges such as navigating complex insurance requirements, managing high volumes of authorization requests, and staying up-to-date with frequent policy changes. Effective communication with healthcare providers and insurance companies is essential to ensure timely approvals and minimize delays in patient care. Developing strong organizational skills, leveraging electronic health record (EHR) systems, and participating in regular training can help manage these challenges and improve workflow efficiency.
What are the most commonly searched types of Pre Certification jobs in Ohio? The most popular types of Pre Certification jobs in Ohio are:
What are popular job titles related to Pre Certification jobs in Ohio? For Pre Certification jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Pre Certification jobs in Ohio look for? The top searched job categories for Pre Certification jobs in Ohio are:
What cities in Ohio are hiring for Pre Certification jobs? Cities in Ohio with the most Pre Certification job openings:
Infographic showing various Pre Certification job openings in Ohio as of July 2026, with employment types broken down into 2% As Needed, 73% Full Time, 18% Part Time, and 7% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $73,979 per year, or $35.6 per hour.

Pre-Certification Specialist

Southwoods Health

Boardman, OH • On-site

$17 - $22.50/hr

Full-time

Re-posted 29 days ago


Southwoods Health rating

6.3

Company rating: 6.3 out of 10

Based on 13 frontline employees who took The Breakroom Quiz


Job description

Pre-Certification Specialist
Location: Southwoods Executive Centre – Boardman, Ohio
About the Role
Southwoods Health is seeking a detail-oriented Pre-Certification Specialist to join our growing team at the Southwoods Executive Centre. In this role, you will be responsible for requesting and obtaining insurance authorizations for procedures and imaging ordered by Southwoods Health physicians.
Essential Duties amp; Responsibilities
  • Authorization Management: Request, track, obtain, and extend pre-authorizations from various insurance carriers in a timely manner.
  • Intake amp; Investigation: Gather accurate, detailed patient data and investigate alternative payment sources to initiate services.
  • Issue Resolution: Assist in resolving complex insurance issues, re-authorizations, and patient eligibility discrepancies.
  • Information Handling: Promptly respond to referral sources requesting supporting documentation, medical reports, or clinical information.
  • Internal Communication: Record and update insurance details within internal databases to keep pertinent staff informed of payer verifications or benefit changes.
  • Compliance amp; Confidentiality: Maintain strict patient confidentiality and adhere to all federal, state, and regulatory guidelines (including OSHA, ODH, BOP, and TJC) across physician practices.
  • Data Management: Independently maintain records and workflow utilizing electronic medical records (EMR) and specialized databases.
  • Administrative Support: Assist in the development, organization, and maintenance of role-specific documents, policies, and process tools.

Qualifications amp; Requirements
  • Education/Training: Specialized courses or training in medical terminology, business office operations, and computer applications.
  • Experience: Minimum of two (2) years of experience handling medical procedure and imaging pre-authorizations across multiple modalities and specialties. Family Practice (FP) or Internal Medicine (IM) office experience is highly preferred.
  • Skills: Proven insurance verification expertise, strong problem-solving capabilities, and meticulous attention to detail.
  • Communication: Excellent interpersonal skills with the ability to maintain a highly professional demeanor, strong ethical standards, and moral principles at all times.

Schedule: Full-time. Monday-Friday 8:00am-4:30pm.

At Southwoods Health, it's not just about the treatment, but how you're treated. #SWH
Apply online today: southwoodshealth.com

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