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Precertification Jobs (NOW HIRING)

Temple Health

Precertification Rep

Philadelphia, PA

$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 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 ...

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$18

$30

How much do precertification jobs pay per hour?

As of Jun 7, 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 are precertification jobs?

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 are some 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 are the key skills and qualifications needed to thrive in a precertification specialist role, and why are they important?

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 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.

More about Precertification jobs
What cities are hiring for Precertification jobs? Cities with the most Precertification job openings:
What are the most commonly searched types of Precertification jobs? The most popular types of Precertification jobs are:
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 May 2026, with employment types broken down into 3% As Needed, 84% Full Time, and 13% Part Time. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $39,368 per year, or $18.9 per hour.
Precertification Representative

Precertification Representative

Princeton Medical Group

Princeton, NJ • On-site

$22 - $23/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 14 days ago

Job description

Precertification Representative
Be a part of our talented and growing team!
Are you looking for a Full-Time Precertification Representative position in an office setting? At Princeton Medical Group, we are looking for dedicated individuals to join our dynamic team to support our wide variety of medical specialties!
About Us:
Princeton Medical Group, P.A. We are a private medical practice with over 30 providers and 8 medical specialties. Our mission has always been to deliver excellent medical care with compassion.
PMG's Comprehensive Benefit Plan:
  • Personal medical and dental insurance
  • 401k and profit-sharing plan
  • Life insurance
  • 3 weeks' vacation time
  • 40 hours of paid sick leave
  • Employee Assistance Program

Precertification Representative Responsibilities
As an important part of our clinical operations, your duties will include:
  • Obtain precertification's for testing/procedures.
  • Communicate with nursing staff all necessary information concerning precertification for patients.
  • Stay actively abreast of changes in insurance company requirements and guidelines and relay changes as they occur to staff.
  • Use manual and computerized systems to obtain precertification's.
  • Track appeals for denied requests to insurance companies.
  • Complete follow up tasks related to active and pending reviews
  • Coordinate peer to peer sessions as needed.
  • Establish and maintain logs to ensure historical patient and office activities are available for review by doctors or nursing staff.
  • Adhere to strict confidentiality guidelines.

Precertification Representative Requirements:
  • Previous precertification experience
  • Excellent customer service skills for dealing with both internal and external customers
  • Knowledge of insurances and precertification processes
  • Knowledge of medical terminology and the ability to interpret medical charts
  • 1 year of experience with ICD-10 billing processes (Preferred)

Schedule:
  • Monday to Friday 8:30 AM - 5:00 PM, flexibility is necessary as this schedule is subject to change.
  • Overtime as required

Medical Specialties Providing Support For:
  • Pulmonology
  • Gastroenterology
  • Primary Care
  • Cardiology
  • Rheumatology
  • Endocrinology
  • Oncology/Hematology
  • Dermatology

Healthcare Setting:
  • Medical Office
  • Outpatient
  • In-person

Job Locations:
  • Princeton, NJ

Pre-employment drug screen is required
Pre-employment professional reference check is required
PMG is an equal employment opportunities ( EEO ) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

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