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Precertification Coordinator Jobs in Racine, WI (NOW HIRING)

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

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

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

... precertification screen, household information and participant information. Explains program ... Coordinator; and/or Safety Officer. Marginal Functions • Assist in bilingual translation as ...

New

Electronically completes client intake including participant search, precertification screen ... Coordinator; and/or Safety Officer. Marginal Functions Assist in bilingual translation as ...

Precertification Coordinator information

See Racine, WI salary details

$11

$23

$43

How much do precertification coordinator jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for precertification coordinator in Racine, WI is $23.31, according to ZipRecruiter salary data. Most workers in this role earn between $17.36 and $25.91 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 job categories do people searching Precertification Coordinator jobs in Racine, WI look for?

The top searched job categories for Precertification Coordinator jobs in Racine, WI are:

What cities near Racine, WI are hiring for Precertification Coordinator jobs?

Cities near Racine, WI with the most Precertification Coordinator job openings:

Infographic showing various Precertification Coordinator job openings in Racine, WI as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, 1% Contract, and 2% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $48,488 per year, or $23.3 per hour.

Registered Nurse, Oncology Nurse Navigator

City of Hope

Zion, IL

Full-time

Re-posted 16 days ago


City Of Hope rating

8.4

Company rating: 8.4 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

25th of 893 rated healthcare providers


Job description

Registered Nurse, Oncology Nurse Navigator

About City of Hope,
City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope’s uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas.

The successful candidate:

  • Must be able to work ONSITE 8:00a-4:30p, M-F

  • Provides disease management with an understanding of oncology, chemotherapy and side effects, is able to monitor and address symptoms. Works with patients and families to provide an understanding of their disease, their treatment plans, and address patient quality of life issues. Documents assessment and interventions entered in a timely manner in the electronic medical record. Collaborates with and supports provider team with daily assistance in managing and coordinating patient care. Evaluates and assesses health issues presented by patients and their caregivers and communicates pertinent and necessary issues to the patient.

  • Effectively and efficiently triages patient medical issues either in person or by telephone. Intervenes appropriately with use of orders and/or consultation with the interdisciplinary health care team. Provides professional nursing services to address patient’s health and other related issues in cooperation with other clinical and clerical team members. Collaborates/Conferences with health care team members to develop a multidisciplinary plan of care and sets patient-centered goals for patient/families.

  • Works as a part of the team as a resource to facilitate communication and services between physicians, patients, families and other healthcare team members including external health agencies to facilitate the plan of care. Provides patient education, utilizing appropriate resources to meet the needs of the patient and documents education in EHR.

  • Performs tasks as outlined in facility policies and procedures, as required by regulating agencies and according to best nursing practices. Including, but not limited to limited central line care, patient education, procedure assist and medication administration. Assists with medication access, precertification, and helps to ensure proper utilization of services to maximize reimbursement and patient satisfaction.

  • Works as a part of the healthcare team to provide excellent patient care to increase patient satisfaction and retention. Works to achieve positive outcomes, and resolution of variances. Covers for other members of the team to ensure efficient delivery of service to the patient. Develops collaborative relationships with other departments/entities/external health care agencies to facilitate and support care.

Qualifications

Your qualifications should include:

  • 3-5 year clinical nursing experience

  • Current IL RN license

  • BSN or higher preferred

  • Basic Life Support (BLS) through American Heart Association

  • OCN Certification preferred

  • Bio/Chemo Certification preferred

City of Hope is an equal opportunity employer.

City of Hope employees pay is based on the following criteria:  work experience, qualifications, and work location.


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City of Hope logo

About City of Hope

Sourced by ZipRecruiter

City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases. Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hopes translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hopes specialized cancer expertise. City of Hope is ranked among the nations Best Hospitals in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Duarte, CA, US

Year founded

1913