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Pre Certification Jobs (NOW HIRING)

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL

$18.25 - $22.75/hr

Pre-Certification Specialist About Us: At The Center for Pain, we take pride in delivering top-notch healthcare services in a friendly and efficient environment. Our dedicated team of professionals ...

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL

$18.25 - $22.75/hr

Pre-Certification Specialist About Us: At The Center for Pain, we take pride in delivering top-notch healthcare services in a friendly and efficient environment. Our dedicated team of professionals ...

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL · On-site

$15.50 - $19.25/hr

Pre-Certification Specialist About Us: At The Center for Pain, we take pride in delivering top-notch healthcare services in a friendly and efficient environment. Our dedicated team of professionals ...

KureSmart

Pre-Cert Coordinator

Montgomery, AL

$18.25 - $22.75/hr

Pre-Certification Specialist About Us: At The Center for Pain, we take pride in delivering top-notch healthcare services in a friendly and efficient environment. Our dedicated team of professionals ...

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 ...

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 ...

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Pre Certification information

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$13

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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/Eligibility Specialist

Pre-Certification/Eligibility Specialist

Urology San Antonio

San Antonio, TX • On-site

Other

Re-posted 18 days ago

Job description

JOB SUMMARY

This position is primarily responsible for pre-certifying procedures and surgeries ordered by physicians. This position is also responsible for coordinating with patients, insurance companies, hospitals, primary care physicians and/or any other medical representatives by performing the following duties.

DUTIES AND ESSENTIAL JOB FUNCTIONS

  • Core duties and responsibilities include the following. Other duties may be assigned.
  • Processes surgery schedulers packets for benefits according to protocol.
  • Contacts patient insurance carrier to verify benefit information and eligibility.
  • Faxes Request for Authorizations and/or any other forms insurances request, as well as all clinical information on to insurance carrier.
  • Annotates on chart patient's policy limits and/or any co-pays, etc. in E.M.R. (Electronic Medical Record). Annotate authorization number on surgery schedule
  • Prepares Letter of Medical Necessity and/or paperwork as required by patient insurance to begin appeal s process, as needed.
  • Submits insurance verification forms to supplier of products on patients using prosthetics.
  • Sets up Peer to Peer review between physician and insurance carrier if prior authorization has been denied.
  • Advises physician and begin appeals process when procedure is exclusion to patient's plan.
  • Obtains authorization for administration and specialized medication s -authorization obtained through Medication Intake Department or through Specialty Pharmacy
  • Maintains constant communication with billing department in the event of insurance error or changes to patient insurance in order to file or re-file claim.
  • Performs other duties as assigned.

Other functions and Responsibilities

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

COMPETENCIES

  1. Patient & Customer Focus
  2. Ethical Conduct
  3. Flexibility
  4. Initiative
  5. Personal Effectiveness/Credibility
  6. Stress Management/Composure

QUALIFICATIONS

Required

  • 6 months experience as a medical front desk with durable expertise of coding.
  • 6 months related experience and/or training, or comparable blend of education and learning and experience.
  • Willingness to attend continuing education courses at the request of the employer.
  • Strong medical terminology
  • Knowledge of insurances and respective requirements

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