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Pre Certification Jobs (NOW HIRING)

Surgery Partners

Pre-Certification Rep

Newnan, GA · On-site

$15.25 - $19.75/hr

Verify receipt of all necessary pre-authorization documents prior to therapy and maintain insurance authorizations for current patients. * Collaborates with medical billing team to ensure accurate ...

Surgery Partners

Pre-Certification Rep

Newnan, GA · On-site

$15.25 - $19.75/hr

Verify receipt of all necessary pre-authorization documents prior to therapy and maintain insurance authorizations for current patients. * Collaborates with medical billing team to ensure accurate ...

Mercy

Pre-Certification Coordinator

Find your calling at Mercy! Job Profile Summary The Patient Benefit Representative is responsible for facilitating all components related to insurance and benefit analysis prior to the delivery of ...

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Pre Certification information

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$13

$35

$68

How much do pre certification jobs pay per hour?

As of Jul 12, 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 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 pre-certifications?

Pre-certifications are approvals required before certain healthcare services or procedures can be performed, ensuring insurance coverage and medical necessity. They often involve submitting documentation to insurance providers and may be part of the job responsibilities for roles in healthcare administration or case management.

What jobs pay 4000 a week without a degree?

Pre Certification roles typically do not pay $4,000 a week without a degree, as high weekly earnings usually require extensive experience, specialized skills, or licensing. However, some high-paying trades such as commercial driving, certain sales positions, or skilled labor like construction management can reach or exceed this level with experience and certifications. These jobs often involve physical work, independent schedules, or commission-based pay structures.

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 jobs pay $700 a day?

Pre certification roles typically do not pay $700 a day; however, specialized jobs such as freelance consultants, certain construction managers, or high-level technical contractors can earn this amount or more daily. These positions often require specific skills, certifications, or experience and may involve project-based or contract work in industries like construction, IT, or consulting.

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.

How much do precertification specialists make?

Precertification specialists typically earn between $35,000 and $55,000 annually, depending on experience, location, and employer. They often require knowledge of insurance policies and medical billing systems to perform tasks efficiently.
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
Pre-Certification Rep

Pre-Certification Rep

Surgery Partners

Newnan, GA • On-site

$15.25 - $19.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Surgery Partners rating

7.6

Company rating: 7.6 out of 10

Based on 80 frontline employees who took The Breakroom Quiz

191st of 881 rated healthcare providers

Job description

Georgia Bone and Joint is seeking an insurance verification and prior authorization representative to join our Clinic's Precertification Department. This person will communicate with insurance companies, patients, and healthcare staff to ensure we receive accurate coverage details, provide necessary information for authorization and continued visits, resolve discrepancies, create, and maintain digital records, all required to help and ensure proper claim filings. This role requires accuracy and attention to detail, knowledge of insurance terms and policies, and effective communication skills to be successful.
Duties and responsibilities include:

  • Accurately verify the patient’s insurance benefits for authorization for visits using online information or by calling insurance companies to obtain necessary and accurate information.
  • Create documentation to communicate the information to the providers and help track approved visits.
  • Monitor schedule daily for coverage changes and update patient records with accurate insurance information.
  • Review and interpret insurance policies and benefits.
  • Works with insurance companies, branches, intake personnel and others as required to collect, update, and manage needed information.
  • Responsible for obtaining, tracking, communicating, and extending authorizations as needed per insurance company requirements promptly.
  • Verify receipt of all necessary pre-authorization documents prior to therapy and maintain insurance authorizations for current patients.
  • Collaborates with medical billing team to ensure accurate claims submission and assist in researching claim denials.
  • Ensures that all insurance information needed for billing and collection processes are appropriately obtained and recorded in the computer system and EMR.
  • Maintain confidentiality of patient information in compliance with HIPAA regulations.
  • Must be well organized, a self-starter and able to prioritize tasks based on greatest need daily, without constant supervision.
  • Must be comfortable with computers, MS Word and Excel.
  • Perform other related duties as assigned by management.
Benefits:
  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance
  • PTO
  • 401(k) retirement plan with a company match
  • And more!

Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
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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