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Precertification Coordinator Jobs (NOW HIRING)

The Office Coordinator provides secretarial support to clinical staff. Answers telephone, screens ... Monitor various reports for precertification need. Perform initial review prior to date of service ...

The Office Coordinator provides secretarial support to clinical staff. Answers telephone, screens ... Monitor various reports for precertification need. Perform initial review prior to date of service ...

The Office Coordinator provides secretarial support to clinical staff. Answers telephone, screens ... Monitor various reports for precertification need. Perform initial review prior to date of service ...

The Office Coordinator provides secretarial support to clinical staff. Answers telephone, screens ... Monitor various reports for precertification need. Perform initial review prior to date of service ...

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Precertification Coordinator information

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$24

$46

How much do precertification coordinator jobs pay per hour?

As of Sep 14, 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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Infographic showing various Precertification Coordinator job openings in the United States as of September 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% In-person job distribution, with an average salary of $51,711 per year, or $24.9 per hour.

Precertification Specialist

Cuyahoga Falls, OH • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Posted 28 days ago


Job description

Join Our Team!

At Davis Eye Center, our mission is to improve the lives of our patients through exceptional vision care. We’re looking for a detail-oriented, organized, and patient-focused Surgical Services Precertification Specialist to join our growing team. In this role, you’ll play a vital part in ensuring our patients receive timely surgical care by securing insurance authorizations and coordinating with providers, payers, and internal teams.

If you enjoy working behind the scenes to support outstanding patient care while collaborating with a dedicated surgical services team, we’d love to hear from you.

What We Offer
  • 6.5 paid holidays per year
  • PTO after the first 60 days of employment
  • Full slate of benefits to include health, dental, vision, and 401k
  • Growth and wage increase through company paid certification program
What You’ll Do

Obtain insurance prior authorizations and precertifications for surgical procedures.

Verify insurance benefits, eligibility, and coverage requirements.

Review clinical documentation to ensure authorization requirements are met.

Communicate with insurance carriers regarding authorization status and appeals.

Coordinate with surgeons, surgery schedulers, clinics, and patients to ensure all required approvals are obtained prior to surgery.

Maintain accurate documentation within the electronic medical record and other systems.

Monitor authorization expiration dates and manage renewals when necessary.

Resolve authorization denials and assist with appeals as appropriate.

Stay current on payer guidelines, authorization requirements, and regulatory changes.

Provide exceptional customer service while maintaining patient confidentiality and HIPAA compliance.

What We’re Looking For

Previous experience with insurance verification, prior authorizations, medical billing, or healthcare administration preferred.

Knowledge of medical terminology, CPT, ICD-10, and insurance processes preferred.

Strong attention to detail and excellent organizational skills.

Ability to prioritize multiple tasks in a fast-paced environment.

Excellent verbal and written communication skills.

Proficiency with electronic medical records and Microsoft Office applications.

Ability to work independently while collaborating effectively with cross-functional teams.

PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines)

Physical Activity: Standing, Walking, Stooping, Grasping, Typing, and Manual dexterity.

Physical Requirements: Must be able to lift up to 15 pounds on a regular basis from floor to waist, 5 pounds from waist to shoulder, and 5 pounds from shoulder to overhead.

Work Environment: Professional medical office environment.

Make an Impact

Every successful surgery begins long before the patient enters the operating room. As a Surgical Services Precertification Specialist, you’ll help ensure our patients receive seamless, timely care while supporting our physicians and surgical teams every step of the way.

Apply today and help us bring exceptional vision care to every patient we serve.

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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