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Pre Certification Jobs in Texas (NOW HIRING)

GI Alliance

Pre-Certification Specialist (32056)

Austin, TX · On-site

$16.50 - $20.25/hr

Minimum of two (2) years of pre-certification experience required. Requirements for Level I Status: * Entry level (1-4 years' experience) and/or meet the basic requirements of the job with the need ...

Mission Hospital

Lead Authorizations Coordinator

Austin, TX · On-site

$18.25 - $22.75/hr

Determines if pre-certification is required for evaluation, transplant admission and/or follow-up care. * Verify pharmacy benefits, authorization requirements and obtain authorization as needed.

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University Health

Financial Coordinator

San Antonio, TX · On-site

$19.30 - $28.75/hr

Supports the functions of pre-certification, referral coordination, and financial counseling. Communicates with unfunded patients about service charges and assists patient with payment arrangements.

University Health

Financial Coordinator

San Antonio, TX

$19.30 - $28.75/hr

Supports the functions of pre-certification, referral coordination, and financial counseling. Communicates with unfunded patients about service charges and assists patient with payment arrangements.

Shannon Health

Registration Manager

Big Spring, TX · On-site

Job Summary The Manager of Registration has the daily oversight of all Patient Access processes including scheduling, pre-registration, pre-certification, eligibility, medical necessity and up-front ...

Heart Hospital of Austin

Patient Registrar

Austin, TX · On-site

$17.75 - $23/hr

Verify all insurance and obtain pre-certification/authorization * Calculate and collect patient liability amounts * Ensure that all necessary signatures are obtained for treatment * Process patient ...

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Pre Certification information

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 popular job titles related to Pre Certification jobs in Texas?

For Pre Certification jobs in Texas, the most frequently searched job titles are:

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

The top searched job categories for Pre Certification jobs in Texas are:

What cities in Texas are hiring for Pre Certification jobs?

Cities in Texas with the most Pre Certification job openings:

Pre Certification jobs near you
Infographic showing various Pre Certification job openings in Texas as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Pre-Certification Specialist (32056)

GI Alliance

Austin, TX • On-site

$16.50 - $20.25/hr

Full-time

Posted 13 days ago

GI Alliance rating

6.4

Company rating: 6.4 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

642nd of 887 rated healthcare providers

Job description

Position purpose
Responsible for the communicating with insurance companies to ensure proper certification/authorization is obtained prior to patient's appointment and all scheduled tests and procedures.
Responsibilities/Duties/Functions/Tasks:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Obtain all requests for precertification and prior authorization from insurance companies for appointments, scheduled tests and procedures.
  • Contact insurance companies as needed to obtain precertification and record on form data entry.
  • Communicates necessary patient financial information with appropriate office and billing personnel in an efficient, timely and accurate manner.
  • Documents, within the practice management system, all required information to include financial responsibility.
  • Verify waivers have been signed as needed for tests and procedures prior to date of service.
  • Communicate with staff on any adjustments on precertification.
  • Light data entry and other related office duties.
  • Other duties as assigned.

Qualifications
Education: High School diploma or GED.
Experience: Minimum of two (2) years of pre-certification experience required.
Requirements for Level I Status:
  • Entry level (1-4 years' experience) and/or meet the basic requirements of the job with the need for additional supervision.
  • Excess of 4 years' experience if meeting only the basic requirements of the job with need for additional supervision.

Additional Qualifications: Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.
Performance Requirements:
  • Excellent communication skills, both written and verbal.
  • Proficient technical (computer) skills.
  • Ability to multi-task and prioritize.
  • Self-motivated with initiative.
  • Strong sense of ethics.

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