The Precertification Specialist I is responsible for verifying patient demographics and insurance ... No special coordination beyond that used for normal mobility and handling of everyday objects and ...
The Precertification Specialist I is responsible for verifying patient demographics and insurance ... No special coordination beyond that used for normal mobility and handling of everyday objects and ...
The Precertification Specialist I is responsible for verifying patient demographics and insurance ... No special coordination beyond that used for normal mobility and handling of everyday objects and ...
The Precertification Specialist I is responsible for verifying patient demographics and insurance ... No special coordination beyond that used for normal mobility and handling of everyday objects and ...
PRECERTIFICATION PRIOR AUTHORIZATION SPEC, SPN-SCHEDULING
Valdosta, GA · On-site
$13.25 - $18/hr
The precertification and/or authorization must be obtained on each patient; preferably prior to their scheduled appointment. If not able to obtain precertification and/or authorization, specialist ...
PRECERTIFICATION PRIOR AUTHORIZATION SPEC, SPN-SCHEDULING
Valdosta, GA · On-site
$13.25 - $18/hr
The precertification and/or authorization must be obtained on each patient; preferably prior to their scheduled appointment. If not able to obtain precertification and/or authorization, specialist ...
Precertification Associate - Pain Management
South Burlington, VT · On-site
$22.82 - $34.23/hr
The Precertification Associate is a fundamental part of the patient experience and is a key ... The Precert Associate coordinates all aspects of the authorization process for assigned services ...
Precertification Associate - Pain Management
South Burlington, VT · On-site
$22.82 - $34.23/hr
The Precertification Associate is a fundamental part of the patient experience and is a key ... The Precert Associate coordinates all aspects of the authorization process for assigned services ...
Precertification & Pre-Service Appeals Nurse
Princeton, NJ · On-site
$65K - $85K/yr
CURE is seeking a skilled and motivated Precertification & Pre-Service Appeals Nurse to join our team. In this role, you will be the clinical bridge between provider orders and insurance approval.
Quick apply
Precertification & Pre-Service Appeals Nurse
Princeton, NJ · On-site
$65K - $85K/yr
CURE is seeking a skilled and motivated Precertification & Pre-Service Appeals Nurse to join our team. In this role, you will be the clinical bridge between provider orders and insurance approval.
Precertification Associate - Pain Management
South Burlington, VT · On-site
$28.53 - $34.23/hr
The Precertification Associate is a fundamental part of the patient experience and is a key ... The Precert Associate coordinates all aspects of the authorization process for assigned services ...
Precertification Associate - Pain Management
South Burlington, VT · On-site
$28.53 - $34.23/hr
The Precertification Associate is a fundamental part of the patient experience and is a key ... The Precert Associate coordinates all aspects of the authorization process for assigned services ...
OH · On-site
$17.50 - $23.75/hr
Timeliness of precertification initiation * Accuracy and completeness of admission documentation * Contribution to census growth and occupancy targets
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OH · On-site
$17.50 - $23.75/hr
Timeliness of precertification initiation * Accuracy and completeness of admission documentation * Contribution to census growth and occupancy targets
Our Sr. Center Coordinators Enjoy: * Fast paced, learning work environment * No weekends/no nights ... Send precertification forms at the close of business daily to the Precertification Department to ...
Our Sr. Center Coordinators Enjoy: * Fast paced, learning work environment * No weekends/no nights ... Send precertification forms at the close of business daily to the Precertification Department to ...
Financial Resource Coordinator
Savannah, GA · On-site
$18.15/hr
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Financial Resource Coordinator
Savannah, GA · On-site
$18.15/hr
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Financial Resource Coordinator
Savannah, GA · On-site
$17.79/hr
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Financial Resource Coordinator
Savannah, GA · On-site
$17.79/hr
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Financial Resource Coordinator
Savannah, GA · On-site
$17.79/hr
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Financial Resource Coordinator
Savannah, GA · On-site
$17.79/hr
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Precertification/Referrals
New Castle, IN · On-site
$16.25 - $21.25/hr
Responsibilities * Carries out the functions of referrals and prior authorizations when it is a requirement of the insurance plan. * Accurately enter required information(non-clinical and structured ...
Precertification/Referrals
New Castle, IN · On-site
$16.25 - $21.25/hr
Responsibilities * Carries out the functions of referrals and prior authorizations when it is a requirement of the insurance plan. * Accurately enter required information(non-clinical and structured ...
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Determines precertification necessity. Communicates and coordinates with insurance companies to ... maximize reimbursement by providing clinical information to third party payers and documenting ...
Denial Mgmt Coordinator
Pinehurst, NC · On-site
$15.75 - $21.25/hr
Overview The Denial Managment Coordinator is responsible for verifying insurance precertification requirements by accessing payer websites or contacting insurance providers directly. This ...
Denial Mgmt Coordinator
Pinehurst, NC · On-site
$15.75 - $21.25/hr
Overview The Denial Managment Coordinator is responsible for verifying insurance precertification requirements by accessing payer websites or contacting insurance providers directly. This ...
$18 - $22.25/hr
... acquire precertification. * Contacts insurance companies or employer groups to obtain ... Coordinates follow-up to ensure all payor requirements are met and payment is expected.
$18 - $22.25/hr
... acquire precertification. * Contacts insurance companies or employer groups to obtain ... Coordinates follow-up to ensure all payor requirements are met and payment is expected.
Denial Mgmt Coordinator
$15.75 - $21.25/hr
Overview The Denial Managment Coordinator is responsible for verifying insurance precertification requirements by accessing payer websites or contacting insurance providers directly. This ...
Denial Mgmt Coordinator
$15.75 - $21.25/hr
Overview The Denial Managment Coordinator is responsible for verifying insurance precertification requirements by accessing payer websites or contacting insurance providers directly. This ...
Obtains patient insurance and demographic information, collects co-pays, ensures precertification ... Imaging Registration Coordinator handles these functions for both Tennessee Oncology patients as ...
Obtains patient insurance and demographic information, collects co-pays, ensures precertification ... Imaging Registration Coordinator handles these functions for both Tennessee Oncology patients as ...
Obtains patient insurance and demographic information, collects co-pays, ensures precertification ... Imaging Registration Coordinator handles these functions for both Tennessee Oncology patients as ...
Obtains patient insurance and demographic information, collects co-pays, ensures precertification ... Imaging Registration Coordinator handles these functions for both Tennessee Oncology patients as ...
Precertification Coordinator information
See salary details
$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
How much do precertification coordinator jobs pay per hour?
What is the highest paid health unit coordinator?
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 jobs pay 4000 a week without a degree?
What is the highest paying job as a coordinator?
What does a precertification coordinator do?
What is a Precertification Coordinator job?
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.

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Job description
The Precertification Specialist I is responsible for verifying patient demographics and insurance benefits, assuring authorizations for service are in place, and informing patient of estimated payment amount. The Precertification Specialist I maintains a resource schedule and acts as a liaison with the patient, provider, physician, and insurance companies.
Responsibilities
- Ensures completeness and integrity of patient registration
- Verifies and documents patient demographics, guarantors, and insurance information
- Validates correct insurance at the time of registration and maintains a 4% or less error rate
- Completes the pre-admission processes specific to assignment
- Monitors schedules of assigned areas for added tests or procedures
- Documents all accounts with pertinent information not limited to follow-up needed by hospital personnel
- Performs financial processes and communicates patient's responsibility
- Creates estimates of charges based on available information and collects pre-payments when necessary
- Communicates financial options to patients prior to testing with possible referral to Financial Counselors
- Screens testing urgency based on patient's ability to pay
- Balances cash sheets and audits
- Assures the MHG financial policy qualifications are met
- Monitors authorization status and alerts Provider Staff or Precertification Specialist II if not received at least 3 days prior to date of service
- Obtains copies of authorizations for non-MHG providers to receive reimbursement for MHG
- Communicates with provider to modify testing/procedure orders to a medically necessary diagnosis based on payer guidelines
Education Requirement
Required: High School Diploma or GED equivalent
Preferred: Certification or vocational training
Experience Requirement
Required: Minimum of one year previous clerical experience
Preferred: Minimum years of relevant experience 2-4
Knowledge of:
- Admitting procedures, insurance coverage and billing requirements
- General office procedures and equipment
- Billing and collections regulations
- Proficiency with general office equipment and Microsoft office applications
- Preparing and maintaining records, files, and reports
- Data entry with minimal errors
- Work independently as well as with a team
- Communicate effectively in both oral and written forms
- Multi-task and prioritize
- Work is generally performed in a hospital environment. Frequent reaching, sitting, walking, and standing may be required. No special coordination beyond that used for normal mobility and handling of everyday objects and materials is needed to perform the job.