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Precertification Coordinator Jobs (NOW HIRING)

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 ...

Davis Eye Center

Precertification Specialist

Cuyahoga Falls, OH · On-site

$15.25 - $18.75/hr

Surgical Services Precertification Specialist Join Our Team! At Davis Eye Center, our mission is to ... coordinating with providers, payers, and internal teams. If you enjoy working behind the scenes to ...

Davis Eye Center

Precertification Specialist

Cuyahoga Falls, OH · On-site

$15.50 - $19.25/hr

Surgical Services Precertification Specialist Join Our Team! At Davis Eye Center, our mission is to ... coordinating with providers, payers, and internal teams. If you enjoy working behind the scenes to ...

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How much do precertification coordinator jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for precertification coordinator in the United States is $24.86, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $27.64 per hour, depending on experience, location, and employer.

What is a precertification coordinator?

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.

What are the typical daily responsibilities of a precertification coordinator?

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.

What are the key skills and qualifications needed to thrive in the precertification coordinator position, and why are they important?

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.

What does a precertification coordinator do?

A precertification coordinator reviews insurance requirements and medical documentation to obtain prior approval for procedures or treatments. They communicate with healthcare providers and insurance companies to ensure necessary authorizations are secured before services are provided, often using healthcare management software. This role helps prevent claim denials and ensures timely patient care.
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Precertification Coordinator jobs near you
Infographic showing various Precertification Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $51,711 per year, or $24.9 per hour.

PreCertification Coordinator

Tennessee Orthopaedic Alliance

Columbia, TN • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Tennessee Orthopaedic Alliance rating

7.1

Company rating: 7.1 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

Job description

This position is a full-time, permanent onsite non-clinical position within Tennessee Orthopaedic Alliance in Columbia, TN.
Responsibilities

  • Promptly identify any errors or other issues in precert and test/surgery scheduling.
  • Communicate with insurance payer representatives, patients, and employees to ensure timely and accurate surgery schedule. This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN, etc.
  • Operate within established guidelines and protocols, including providing backup documentation such as office notes, test reports, etc. to carriers.
  • Obtains pre-certification/preauthorization from insurance companies prior to test or procedure
  • Manages patient insurance verification by utilizing multiple insurance websites, phone, fax, and other methods as needed
  • Timely follow up on all submitted verifications/pre-certifications
  • Notifies the physician regarding denials, and approvals, etc.
Requirements
  • Understanding of CPT and ICD-10 coding
  • Prior Precert experience
  • Knowledge of administrative and clerical procedures experience with an EHR or NextGen is a plus
  • Knowledge of Insurance – particularly coordination of benefit rules and precertification denial overturns are essential to this position.
  • Strong organizational and interpersonal skills
  • Understanding medical terminology
Benefits
  • Competitive pay
  • Comprehensive benefits package including medical, dental, vision, 401k match with employee contribution and discretionary profit-sharing
  • Paid Time Off (which increases with years of service)
  • Paid Holidays

TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers. TOA adheres to HIPAA and OSHA safety guidelines.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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