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Precertification Coordinator Jobs in Wisconsin (NOW HIRING)

Mercyhealth

Precertification Specialist

Janesville, WI · On-site

$17.57 - $26.36/hr

... acquire precertification. * Contacts insurance companies or employer groups to obtain pre ... Coordinates follow-up timely to ensure procedures are authorized and documented prior to the date ...

Mercyhealth

Precertification Specialist

Janesville, WI · On-site

$17.57 - $26.36/hr

... acquire precertification. * Contacts insurance companies or employer groups to obtain pre ... Coordinates follow-up timely to ensure procedures are authorized and documented prior to the date ...

UHS

Night Shift RN/Intake Clinician

West Allis, WI · On-site

NOCS Join a dynamic team of leading professionals dedicated to coordination of all admission ... Knowledge of precertification for inpatient hospitalization. Experience gathering and documenting ...

UHS

Night Shift RN/Intake Clinician

West Allis, WI · On-site

NOCS Join a dynamic team of leading professionals dedicated to coordination of all admission ... Knowledge of precertification for inpatient hospitalization. Experience gathering and documenting ...

UHS

Night Shift RN/Intake Clinician

West Allis, WI · On-site

NOCS Join a dynamic team of leading professionals dedicated to coordination of all admission ... Knowledge of precertification for inpatient hospitalization. Experience gathering and documenting ...

All JobsPrecertification JobsPrecertification Coordinator JobsPrecertification Coordinator Jobs in Wisconsin

Precertification Coordinator information

See Wisconsin salary details

$12

$25

$46

How much do precertification coordinator jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for precertification coordinator in Wisconsin is $25.09, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $27.88 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.

What are popular job titles related to Precertification Coordinator jobs in Wisconsin?

For Precertification Coordinator jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Precertification Coordinator jobs in Wisconsin look for?

The top searched job categories for Precertification Coordinator jobs in Wisconsin are:

What cities in Wisconsin are hiring for Precertification Coordinator jobs?

Cities in Wisconsin with the most Precertification Coordinator job openings:

Precertification Coordinator jobs near you
Infographic showing various Precertification Coordinator job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $52,195 per year, or $25.1 per hour.

Precertification Specialist

Mercyhealth

Janesville, WI • On-site

$17.57 - $26.36/hr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 20 days ago

Mercy Health rating

6.9

Company rating: 6.9 out of 10

Based on 384 frontline employees who took The Breakroom Quiz

455th of 893 rated healthcare providers

Job description

ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Identify all scheduled patients requiring pre-certification or pre-determination through various systems.
  • Identify all relevant patient data elements and information from the various systems to acquire precertification.
  • Contacts insurance companies or employer groups to obtain pre-certifications, predeterminations, and determine eligibility and benefits for necessary services.
  • Make necessary contact to follow up if there are insurance issues in order to obtain financial resolution.
  • Obtain necessary clinical documentation to use in the pre-certification process.
  • Coordinates follow-up timely to ensure procedures are authorized and documented prior to the date of service while ensuring all payor requirements are met to ensure payment.
  • Communicates with designated Mercy Partners, Patient Financial Counselors regarding outcome of pre-certifications, benefits and patient financial responsibility.
  • Obtains insurance information to complete payor requirements.
  • Maintains current knowledge of payor payment provisions and regulations.
  • Keep current of ICD-9/ICD-10 and CPT coding requirements.
  • Ability to utilize computer software to complete pre-certification processes.
  • Meets department productivity and accuracy expectations.
  • Understands and follows patient confidentiality policies.
  • Ability to determine network status, eligibility, and coverage for patients to ensure reimbursement for services. Maintains current knowledge of payor payment provisions and regulations.
  • Communicate in a professional, respectful manner with provider offices regarding peer to peer information for follow-up ensuring authorizations can be obtained for procedures pended for medical review.
  • Follows documentation standards on all patient encounters on appropriate patient account utilizing notes. Ensures account is updated to accurately reflect the current status.
  • Ability to work independently with minimal supervision and be result oriented.
  • Provide training and mentoring
  • May be required to work alternate shifts, weekends and overtime during peak periods.
  • Participates in educational programs to meet mandatory requirements and identified needs with regard to position and personal growth.
  • Performs other duties as assigned.

EDUCATION AND/OR EXPERIENCE
High school diploma or equivalent preferred.
One year of pre-certifications, medical billing, registration, healthcare experience, or other business or healthcare related education preferred.
CERTIFICATION/LICENSURE
N/A
OTHER SKILLS AND ABILITIES
Excellent oral communication skills/organizational skills
Ability to handle stress and problem solve
Computer experience required
Knowledge of Epic preferred
Able to work independently
LEVEL OF SUPERVISION
Some independent judgment is required, but alternatives are limited by standard practices or procedures.
SUPERVISES
This position has no supervisory responsibility
PAY RANGE:
$17.57 - $26.36
Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.
Mercyhealth offers competitive pay and a comprehensive benefits package including:
  • Medical, Dental, Vision
  • Life & Disability Insurance
  • FSA/HSA Options
  • Generous, accruing paid time off
  • Paid Parental and caregiver leave
  • Career advancement and educational opportunities
  • Tuition and certification reimbursement
  • Certification Reimbursement
  • Well-being Programs
  • Employee Discounts
  • On-Demand Pay
  • Financial Education
  • Annual recognition/awards events
  • Partner appreciation days
  • Family entertainment/attractions discount
  • Community service/improvement opportunities

Click here for more details regarding Mercyhealth Careers Benefit Information.
At Mercyhealth, we don't simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.
Mercyhealth has been nationally recognized for our commitment to our people and culture, including:
  • #1 in the nation on AARP's Best Employers for Workers Over 50
  • One of Working Mother magazine's 100 Best Companies for Working Mothers
  • A Top 50 Company and Top 10 Nonprofit for Executive Women

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About Mercyhealth

Sourced by ZipRecruiter

At Mercyhealth, we don’t simply hire people – instead, we empower talented, dedicated health care professionals to provide the highest quality patient care possible with a passion for making lives better. As an integrated health care provider, we provide exceptional, coordinated health care. The organization consists of seven hospitals, 85+ clinics, and more than 7,500 employee-partners to serve patients in 15 counties throughout northern Illinois and southern Wisconsin. We hope you’ll consider becoming the newest member of the Mercyhealth family and join our passion for making lives better!

Industry

Hospitals, fitness and sports centers and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Janesville, WI, US

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