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Pre Certification Jobs (NOW HIRING)

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 ...

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 ...

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Huntsville Hospital Health System

Pre Cert Rep

Madison, AL · On-site

$15.25 - $19.50/hr

Overview The Pre-Certification Representative is responsible for obtaining approval from insurance companies for services that require referral, pre-certification or prior authorization. All job ...

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How much do pre certification jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for pre certification in the United States is $35.24, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $43.75 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 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 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 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 cities are hiring for Pre Certification jobs?

Cities with the most Pre Certification job openings:

What are the most commonly searched types of Pre Certification jobs?

The most popular types of Pre Certification jobs are:

What states have the most Pre Certification jobs?

States with the most job openings for Pre Certification jobs include:

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

The top searched job categories for Pre Certification jobs are:

Pre Certification jobs near you
Infographic showing various Pre Certification 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 $73,307 per year, or $35.2 per hour.

Pre-Certification Rep. (Part-Time)

Deborah Heart and Lung Center

Browns Mills, NJ • On-site

$18.20/hr

Part-time

Medical, Life, Retirement, PTO

Re-posted 19 days ago

Deborah Heart & Lung Center rating

6.8

Company rating: 6.8 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

601st of 1,062 rated hospitals

Job description

Position Summary: Responsible to obtain authorizations and/or managed care referrals for inpatient and outpatient encounters. Other responsibilities include performing verification of benefits, pre-certification for elective and emergency admissions and obtaining Notices of Admissions. Additional duties may include assisting the Department of Patient Access Services in performing pre-registration requirements, order entry, etc. Position requires self-motivated individual who can handle high patient volumes and fast pace.
Experience
Preferred: Six months to one year of recent experience with insurance companies, physician office, billing company, or other healthcare setting. Familiarity with managed care insurance and commercial insurance plans.
Education
Required: High School or G.E.D.
Skills: Medical Terminology, Anatomy and Physiology. Experience with CPT coding preferred. Excellent communication skills required.
Bi-Weekly Hours: 40 hours per pay period
Work Schedule: 8:00am- 4:30pm
The minimum starting rate for this position is $18.20
When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity).
At Deborah, healthcare is still about caring...for patients and team members. That is why we offer an outstanding benefits package, which includes healthcare coverage for team members in regularly budgeted positions of at least 30 hours per week. The benefits package also includes generous paid time-off, 401K matching contribution, tuition assistance, short and long term disability benefits, life insurance, meal discount, dependent care subsidy, adoption assistance and free parking.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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