PreCertification Coordinator
Columbia, TN · On-site
Knowledge of Insurance - particularly coordination of benefit rules and precertification denial overturns are essential to this position. * Strong organizational and interpersonal skills
Columbia, TN · On-site
Knowledge of Insurance - particularly coordination of benefit rules and precertification denial overturns are essential to this position. * Strong organizational and interpersonal skills
Columbia, TN · On-site
Knowledge of Insurance - particularly coordination of benefit rules and precertification denial overturns are essential to this position. * Strong organizational and interpersonal skills
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 ...
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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 ...
Columbia, TN · On-site
Knowledge of Insurance - particularly coordination of benefit rules and precertification denial overturns are essential to this position. * Strong organizational and interpersonal skills
Columbia, TN · On-site
Knowledge of Insurance - particularly coordination of benefit rules and precertification denial overturns are essential to this position. * Strong organizational and interpersonal skills
Houston, TX · On-site
$19/hr
Overview Retina Consultants of Texas (RCTX) is seeking a Referral and Precertification Coordinator will be responsible for obtaining benefit verifications, referrals, and authorizations for ...
Houston, TX · On-site
$19/hr
Overview Retina Consultants of Texas (RCTX) is seeking a Referral and Precertification Coordinator will be responsible for obtaining benefit verifications, referrals, and authorizations for ...
Houston, TX · On-site
$17 - $19/hr
Contacts insurance company for authorization/precertification requirement, initiate request and ... coordinator having difficulty obtaining pre-cert, etc.) * Assists the administrator and/or ...
Houston, TX · On-site
$17 - $19/hr
Contacts insurance company for authorization/precertification requirement, initiate request and ... coordinator having difficulty obtaining pre-cert, etc.) * Assists the administrator and/or ...
Hattiesburg, MS · On-site
$14.25 - $17.50/hr
This position is responsible for coordinating with healthcare providers, insurance companies, and patients to verify coverage and secure precertification for MRI. The specialist helps to minimize ...
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Hattiesburg, MS · On-site
$14.25 - $17.50/hr
This position is responsible for coordinating with healthcare providers, insurance companies, and patients to verify coverage and secure precertification for MRI. The specialist helps to minimize ...
Hattiesburg, MS · On-site
$14.25 - $17.50/hr
This position is responsible for coordinating with healthcare providers, insurance companies, and patients to verify coverage and secure precertification for MRI. The specialist helps to minimize ...
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Hattiesburg, MS · On-site
$14.25 - $17.50/hr
This position is responsible for coordinating with healthcare providers, insurance companies, and patients to verify coverage and secure precertification for MRI. The specialist helps to minimize ...
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
... coordination Maintain organized case logs and meet turnaround time expectations Identify payer quirks, trends, and requirements to prevent delays * Maintain flexibility within the role to deliver the ...
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... coordination Maintain organized case logs and meet turnaround time expectations Identify payer quirks, trends, and requirements to prevent delays * Maintain flexibility within the role to deliver the ...
This position is responsible for obtaining and/or verifying insurance precertification and prior authorization requirements for outpatient diagnostic and procedural services based on payer guidelines ...
This position is responsible for obtaining and/or verifying insurance precertification and prior authorization requirements for outpatient diagnostic and procedural services based on payer guidelines ...
Surgical Precertification Specialist Full-Time - Remote MUST LIVE IN NJ, PA OR FL Position Summary ... coordination • Maintain organized case logs and meet turnaround time expectations • Identify ...
Surgical Precertification Specialist Full-Time - Remote MUST LIVE IN NJ, PA OR FL Position Summary ... coordination • Maintain organized case logs and meet turnaround time expectations • Identify ...
... coordination Maintain organized case logs and meet turnaround time expectations Identify payer quirks, trends, and requirements to prevent delays * Maintain flexibility within the role to deliver the ...
... coordination Maintain organized case logs and meet turnaround time expectations Identify payer quirks, trends, and requirements to prevent delays * Maintain flexibility within the role to deliver the ...
This position is responsible for obtaining and/or verifying insurance precertification and prior authorization requirements for outpatient diagnostic and procedural services based on payer guidelines ...
This position is responsible for obtaining and/or verifying insurance precertification and prior authorization requirements for outpatient diagnostic and procedural services based on payer guidelines ...
Position will also assist the Eligibility Coordinator in obtaining benefit information on new and ... The Precertification Specialist reports directly to the Patient Financial Services Manager who is ...
Position will also assist the Eligibility Coordinator in obtaining benefit information on new and ... The Precertification Specialist reports directly to the Patient Financial Services Manager who is ...
Position will also assist the Eligibility Coordinator in obtaining benefit information on new and ... The Precertification Specialist reports directly to the Patient Financial Services Manager who is ...
Position will also assist the Eligibility Coordinator in obtaining benefit information on new and ... The Precertification Specialist reports directly to the Patient Financial Services Manager who is ...
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
The Precertification Specialist is responsible for obtaining prior authorizations/pre ... Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
West Long Branch, NJ · On-site
$21 - $24/hr
The Precert Coordinator plays a critical role in the healthcare delivery process by managing and facilitating the precertification and prior authorization procedures required by insurance providers.
West Long Branch, NJ · On-site
$21 - $24/hr
The Precert Coordinator plays a critical role in the healthcare delivery process by managing and facilitating the precertification and prior authorization procedures required by insurance providers.
$12.02 - $15.12
7% of jobs
$15.12 - $18.23
16% of jobs
$18.44 is the 25th percentile. Wages below this are outliers.
$18.23 - $21.33
23% of jobs
The median wage is $21.82 / hr.
$21.33 - $24.43
20% of jobs
$26.22 is the 75th percentile. Wages above this are outliers.
$24.43 - $27.53
14% of jobs
$27.53 - $30.64
6% of jobs
$30.64 - $33.74
4% of jobs
$33.74 - $36.84
3% of jobs
$36.84 - $39.95
2% of jobs
$39.95 - $43.05
2% of jobs
$43.05 - $46.15
1% of jobs
$12
$24
$46
To excel as a Precertification Coordinator, you need strong organizational skills, attention to detail, and a solid understanding of medical terminology, insurance processes, and healthcare regulations—often supported by a healthcare administration background or related certification. Familiarity with insurance verification software, electronic health records (EHR) systems, and payer portal platforms is typically required. Excellent communication, problem-solving abilities, and the capacity to remain calm under pressure are standout soft skills in this role. These competencies are vital for ensuring timely, accurate authorization of medical procedures, which directly impacts patient care and reimbursement processes.
A Precertification Coordinator is responsible for obtaining prior authorizations and ensuring that medical services, procedures, or medications meet insurance requirements before they are provided. They communicate with healthcare providers, patients, and insurance companies to verify coverage, submit necessary documentation, and track approval statuses. This role helps prevent claim denials and ensures that patients receive timely care while minimizing financial burdens. Strong attention to detail, knowledge of insurance policies, and excellent communication skills are essential for success in this position.
As a Precertification Coordinator, you will review medical procedure requests, verify insurance coverage, and work with healthcare providers and insurance companies to secure necessary authorizations. Your day often includes gathering patient information, submitting and tracking authorization requests, and communicating outcomes to clinical teams and patients. You may also resolve issues related to denials or incomplete information and help ensure compliance with regulatory requirements. The role is typically fast-paced and involves collaboration with various departments to support smooth patient care and billing processes.

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 13 days ago
7.1
Based on 19 frontline employees who took The Breakroom Quiz
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Outpatient health care
1,001 - 5,000 Employees
Nashville, TN, US
1926