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Precertification Jobs (NOW HIRING)

Temple Health

Precertification Rep

Philadelphia, PA · On-site

$40K - $55K/yr

This position is responsible for confirming and satisfying all authorization billing requirements by obtaining the appropriate precertification/authorization from all necessary payers to avoid delays ...

Temple Health

Precertification Rep

Philadelphia, PA · On-site

$40K - $55K/yr

Job Title This position is responsible for confirming and satisfying all authorization billing requirements by obtaining the appropriate precertification/authorization from all necessary payers to ...

Addison Group

Precertification Specialist

Smyrna, GA · On-site

$22/hr

Precertification Specialist Location: Smyrna, GA Compensation: $22.00 per hour Employment Type: Contract-to-Hire fully onsite Schedule: Monday-Friday, 8:00 AM-5:00 PM Benefits: This position is ...

CYNET SYSTEMS

Precertification Coordinator

Houston, TX · On-site

$24/hr

Minimum 2+ years of experience in working in precertification. * Working knowledge of managed care in all areas, most notably: referrals, insurance verification, and precertification. * Knowledge of ...

Temple University

Precertification Rep

Philadelphia, PA · On-site

$40K - $55K/yr

This position is responsible for confirming and satisfying all authorization billing requirements by obtaining the appropriate precertification/authorization from all necessary payers to avoid delays ...

Addison Group

Precertification Specialist

Smyrna, GA · On-site

$22/hr

Precertification Specialist Location: Smyrna, GA Compensation: $22.00 per hour Employment Type: Contract-to-Hire fully onsite Schedule: Monday-Friday, 8:00 AM-5:00 PM Benefits: This position is ...

Saint Luke's Hospital of Kansas City

The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for procedures, testing and surgeries performed in the ...

Bridgeview Eye Partners

Precertification Specialist

Wabash, IN · On-site

$15.75 - $19.50/hr

Cataract & Laser Institute is seeking a detail-oriented and dependable Precertification Specialist to join our team. In this role, you will help ensure patients receive timely access to surgical care ...

Bridgeview Eye Partners

Precertification Specialist

Wabash, IN · On-site

$15.75 - $19.50/hr

Cataract & Laser Institute is seeking a detail-oriented and dependable Precertification Specialist to join our team. In this role, you will help ensure patients receive timely access to surgical care ...

Saint Luke's Hospital System

The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for procedures, testing and surgeries performed in the ...

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All JobsPrecertification Jobs

Precertification information

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$5

$18

$30

How much do precertification jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for precertification in the United States is $18.93, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $27.40 per hour, depending on experience, location, and employer.

What is a precertification specialist?

Precertification jobs involve reviewing and approving medical procedures, treatments, or hospital admissions before they occur to ensure they meet insurance or regulatory requirements. Professionals in these roles typically evaluate patient information, communicate with healthcare providers, and coordinate with insurance companies to determine if services will be covered. This process helps control healthcare costs and ensures that patients receive appropriate care according to established guidelines. Precertification specialists often work in hospitals, insurance companies, or healthcare administration settings.

What skills and qualifications are needed to thrive as a precertification specialist?

Success as a precertification specialist requires knowledge of medical terminology, insurance verification, and healthcare regulations, often supported by a background in healthcare administration or certification such as Certified Medical Administrative Assistant (CMAA). Familiarity with insurance portals, electronic health record (EHR) systems, and payer-specific software is typically necessary. Attention to detail, strong organizational skills, and effective communication are vital soft skills that help in coordinating between providers, patients, and insurers. These abilities ensure accurate and timely approval of medical procedures, reducing delays in patient care and minimizing claim denials.

What are common challenges faced by precertification specialists, and how can they be addressed?

Precertification Specialists often face challenges such as staying up-to-date with constantly changing insurance guidelines, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To address these, it is important to maintain strong organizational skills, leverage available technology for tracking authorizations, and participate in ongoing training to remain current on payer requirements. Building good relationships with team members and regularly sharing updates can also help streamline processes and minimize delays.

What is the difference between Precertification vs Medical Coder?

AspectPrecertificationMedical Coder
Required credentialsCertification may be preferred; knowledge of insurance policiesCertification (e.g., CPC, CCS) often required
Work environmentHealthcare facilities, insurance companies, outpatient clinicsHospitals, clinics, insurance companies, remote work
Employer usageUsed to approve procedures before serviceUsed to assign codes for billing and documentation
Common search intentPrecertification vs Medical Coder

Precertification involves obtaining approval from insurance companies before procedures, focusing on insurance policies and patient eligibility. Medical coders assign standardized codes to medical records for billing, emphasizing coding accuracy and documentation. While both roles are integral to healthcare billing, precertification is about approval processes, whereas medical coding centers on documentation and coding accuracy.

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Cities with the most Precertification job openings:

What are the most commonly searched types of Precertification jobs?

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What states have the most Precertification jobs?

States with the most job openings for Precertification jobs include:

What job categories do people searching Precertification jobs look for?

The top searched job categories for Precertification jobs are:

Precertification jobs near you
Infographic showing various Precertification job openings in the United States as of September 2026, with employment types broken down into 5% As Needed, 81% Full Time, and 14% Part Time. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $39,368 per year, or $18.9 per hour.

Precertification Representative

Kansas City, MO • On-site

Orthopedic Health of Kansas City
Health Care and Social Assistance • 51 - 200 employees
Learn more about Orthopedic Health of Kansas Cityexternal

$37K - $50K/yr

Full-time

Posted 18 days ago

Job description

Precertification Representative

Location: Kansas City, MO, 64116

Job Description

We are seeking a detail-oriented and customer-focused Precertification Representative to join our team in Kansas City, MO. The ideal candidate will be responsible for obtaining prior authorizations and precertifications from insurance companies to ensure timely and accurate processing of medical services.

Responsibilities
  • Contact insurance companies to obtain precertifications and prior authorizations for medical procedures and services.
  • Verify patient insurance coverage and eligibility.
  • Communicate with healthcare providers, patients, and insurance representatives to gather necessary information.
  • Maintain accurate records of all precertification requests and approvals.
  • Follow up on pending authorizations to ensure timely completion.
  • Assist in resolving any issues related to insurance denials or delays.
  • Stay updated on insurance policies, procedures, and requirements.
Qualifications
  • High school diploma or equivalent; associate degree preferred.
  • Previous experience in medical billing, insurance verification, or precertification is a plus.
  • Strong communication and interpersonal skills.
  • Ability to work independently and manage multiple tasks efficiently.
  • Proficient in using computer systems and software related to healthcare administration.
  • Detail-oriented with strong organizational skills.
Work Environment

This position is based in our Kansas City office and may require occasional interaction with healthcare providers and insurance representatives via phone and email.

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