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Pre Certification Jobs (NOW HIRING)

Ohio State University

Senior Pre-Certification Coordinator Department:Health System Shared Services | Precert Scope of Position The Revenue Cycle for The Ohio State University Wexner Medical Center is responsible for ...

Washington University of St. Louis

$20.57 - $30.84/hr

Documents when pre-certification is received from insurance companies. * Performs other duties as assigned. Working Conditions: Job Location/Working Conditions: * Normal working environment.

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How much do pre certification jobs pay per hour?

As of Jun 10, 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. For jobs related to healthcare or insurance, understanding pre-certification processes involves knowledge of documentation, approval timelines, and compliance with regulations.

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 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 June 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 95% In-person, and 5% Hybrid job distribution, with an average salary of $73,307 per year, or $35.2 per hour.
Senior Pre-Certification Coordinator

Senior Pre-Certification Coordinator

Ohio State University

Full-time

Posted 14 days ago

Job description

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these frequently asked questions.

Current Employees and Students:

If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.

Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:

  • Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.

  • Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.

Job Title:Senior Pre-Certification CoordinatorDepartment:Health System Shared Services | Precert

Scope of Position

The Revenue Cycle for The Ohio State University Wexner Medical Center is responsible for providing excellent customer service, both internal and external, while processing authorization requests to insurance carriers efficiently and accurately. Areas within the Revenue Cycle include pre-registration, registration, pre-certification, financial clearance and counseling, financial assistance, scheduling, billing, claims follow-up, customer service and cash collection. The primary responsibility of staff with Revenue Cycle is to ensure the collection of net accurate, timely, revenue for services rendered.

Position Summary

The Patient Access Coordinator 3 implements and supports the mission, values, standards, policies and procedures of The Ohio State University Wexner Medical Center (OSUWMC). The PAC-3 provides exceptional customer service while ensuring the financial viability of OSUWMC. The PAC-3 functions within the multidisciplinary team to secure complex pre-authorizations and prevent / appeal clinical denials. The job requires the utilization of clinical knowledge to interpret and apply medical necessity guidelines to determine appropriate services. The role requires the PAC-3 to become subject matter experts (SME) for insurance carriers as well as governmental payers.

This position is responsible for providing consumers (clinical staff and patients) with accurate, up-to-date information regarding insurance benefits, and authorizations. Assures accurate appointment, demographic and insurance information is gathered to support clinical and financial needs including changes to insurance or other patient information. Provides support to physicians and customers by coordinating their requests and satisfying their needs in one transaction. Solves routine and complex customer problems and knows where to direct customers to address specific questions. Communicate regularly with clinical team, medical staff and other team members within the product/service line to ensure customer and department needs are met. The precertification department uses a variety of tools and communication methods to obtain authorization and must be able to determine the most appropriate method of contact. This includes but is not limited to electronic transactions, numerous web portals, phone calls and faxes. Flexibility and continuous ability and willingness to learn new technology as it becomes available are essential. Must be able to use a variety of software packages which include the Electronic Medical record, scheduling and registration systems, ABN, eligibility, document management software, etc.

Minimum Qualifications

For Hire: High School diploma or GED preferred. Certification or vocational training may be required. 2 years of relevant experience required.

FUNCTION: Finance
SUB-FUNCTION: Revenue Cycle Pre-certification
CAREER BAND: Individual Contributor - Technical
CAREER LEVEL: 3

Additional Information:Location:Ackerman Rd, 660 (0242)Position Type:RegularScheduled Hours:40Shift:First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.

The university is an equal opportunity employer, including veterans and disability.

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