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Precertification Specialist Jobs in Indiana (NOW HIRING)

Bridgeview Eye Partners

Precertification Specialist

Wabash, IN · On-site

$15.75 - $19.50/hr

Cataract & Laser Institute is seeking a detail-oriented and dependable Precertification Specialist to join our team. In this role, you will help ensure patients receive timely access to surgical care ...

Bridgeview Eye Partners

Precertification Specialist

Wabash, IN · On-site

$15.75 - $19.50/hr

Cataract & Laser Institute is seeking a detail-oriented and dependable Precertification Specialist to join our team. In this role, you will help ensure patients receive timely access to surgical care ...

OrthoIndy

Insurance Authorization Specialist

Indianapolis, IN · On-site

$17.25 - $23/hr

The Specialist is responsible for providing accurate and complete data input into multiple electronic systems for precertification requests, and for maintaining multiple online accounts to ensure ...

Riverview Health

Patient Access Specialist

Noblesville, IN · On-site

$16.25 - $21.50/hr

Calls insurance companies for precertification's and authorizations. Serves as a patient resource ... The Specialist will interview the patient/guarantor to obtain complete demographic, clinical ...

RIVERVIEW HOSPITAL

Patient Access Specialist

Westfield, IN

$16.50 - $22/hr

Calls insurance companies for precertification's and authorizations. Serves as a patient resource ... The Specialist will interview the patient/guarantor to obtain complete demographic, clinical ...

Riverview Health

Patient Access Specialist

Noblesville, IN · On-site

$16.25 - $21.50/hr

Calls insurance companies for precertification's and authorizations. Serves as a patient resource ... The Specialist will interview the patient/guarantor to obtain complete demographic, clinical ...

Riverview Health

Patient Access Specialist

Noblesville, IN · On-site

$16.25 - $21.50/hr

Calls insurance companies for precertification's and authorizations. Serves as a patient resource ... The Specialist will interview the patient/guarantor to obtain complete demographic, clinical ...

HHC

Pharmacy Medication Access Specialist

Indianapolis, IN · On-site

$15.75 - $19.25/hr

... precertification. This position functions as a liaison and navigator for patients, clinical staff ... The Pharmacy Medication Access Specialist II uses a proactive approach to identifying patient ...

Lifepoint Health

Assessment Specialist

Lafayette, IN

Sycamore Springs RN, Assessment Specialist/Intake Specialist - $5,000 Sign On Bonus Schedule: 3 ... Maintains all preadmission and admission paperwork with accuracy and completes all precertification ...

Lifepoint Health

Assessment Specialist

Lafayette, IN · On-site

Sycamore Springs RN, Assessment Specialist/Intake Specialist - $5,000 Sign On Bonus Schedule: 3 ... Maintains all preadmission and admission paperwork with accuracy and completes all precertification ...

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Precertification Specialist information

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How much do precertification specialist jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for precertification specialist in Indiana is $15.93, according to ZipRecruiter salary data. Most workers in this role earn between $14.20 and $17.35 per hour, depending on experience, location, and employer.

What is a precertification specialist?

Precertification Specialists are healthcare professionals responsible for obtaining authorization from insurance companies before certain medical procedures, treatments, or hospital admissions. They review patient information, communicate with medical providers, and ensure that all necessary documentation is provided to insurers. Their main goal is to confirm coverage and prevent claim denials, helping patients and healthcare providers navigate insurance requirements efficiently. Precertification Specialists play a crucial role in the administrative side of healthcare, ensuring compliance and supporting patient care.

What does a precertification specialist do?

A Precertification Specialist acts as a liaison between healthcare providers, patients, and insurance companies to ensure that required medical procedures, tests, or medications are authorized before services are rendered. This role involves frequent communication with physicians' offices to gather clinical information and with insurance representatives to clarify coverage or obtain approvals. Effective collaboration and attention to detail are essential, as specialists must track multiple cases simultaneously and ensure all documentation meets payer requirements. Strong interpersonal skills help streamline the process and minimize delays in patient care.

What skills and qualifications are needed to be a precertification specialist?

To excel as a Precertification Specialist, you need a solid understanding of medical terminology, insurance policies, and healthcare procedures, often supported by a high school diploma or associate degree and relevant experience. Familiarity with healthcare management software, electronic medical records (EMR), and payer portals is typically required. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for accurately processing requests and interacting with patients and providers. These competencies ensure timely and accurate insurance authorizations, minimizing delays in patient care and reducing claim denials.

What is the difference between Precertification Specialist vs Medical Billing Specialist?

AspectPrecertification SpecialistMedical Billing Specialist
CredentialsTypically requires certification in healthcare or insurance, such as AHIP or AAPCOften requires certification in medical billing or coding, like CPC or CPC-A
Work EnvironmentHospitals, insurance companies, healthcare providersMedical offices, billing companies, healthcare providers
Job FocusSecuring prior approvals for procedures and treatmentsProcessing and submitting insurance claims for payment

The Precertification Specialist primarily focuses on obtaining prior approvals for medical procedures, ensuring insurance coverage before treatment. In contrast, the Medical Billing Specialist handles the billing process after services are rendered, managing claims and payments. While both roles require knowledge of insurance policies and healthcare regulations, their core responsibilities differ significantly.

How do I become a precertification specialist?

To become a precertification specialist, candidates typically need a high school diploma or equivalent, along with knowledge of insurance policies and medical billing. Relevant skills include attention to detail, communication, and familiarity with healthcare management software. Some employers may prefer or require certification in medical billing or coding.

How much does a precertification specialist make?

A precertification specialist typically earns between $40,000 and $60,000 annually, depending on experience, location, and employer. Salaries can vary based on certifications, such as Certified Medical Reimbursement Specialist (CMRS), and the complexity of the healthcare setting they work in.

What are popular job titles related to Precertification Specialist jobs in Indiana?

For Precertification Specialist jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Precertification Specialist jobs in Indiana look for?

The top searched job categories for Precertification Specialist jobs in Indiana are:

What cities in Indiana are hiring for Precertification Specialist jobs?

Cities in Indiana with the most Precertification Specialist job openings:

Precertification Specialist jobs near you
Infographic showing various Precertification Specialist job openings in Indiana as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 76% Physical, 4% Hybrid, and 20% Remote job distribution, with an average salary of $33,125 per year, or $15.9 per hour.

Precertification Specialist

Wabash, IN • On-site

Cataract & Laser Institute
Outpatient Health Care • 1 - 10 employees
Learn more about Cataract & Laser Instituteexternal

$15.75 - $19.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

Join Our Team!
Cataract & Laser Institute is seeking a detail-oriented and dependable Precertification Specialist to join our team. In this role, you will help ensure patients receive timely access to surgical care by coordinating insurance eligibility, benefits, precertifications, and prior authorizations.
You will serve as an important connection between patients, providers, surgical teams, clinic staff, and insurance companies-helping create a seamless, compassionate, and efficient experience from scheduling through surgery.
What You'll Do
  • Obtain insurance precertifications and prior authorizations for surgical procedures.
  • Verify patients' insurance eligibility, benefits, coverage requirements, and financial responsibility.
  • Review scheduled procedures and supporting clinical documentation to ensure payer requirements are met.
  • Submit accurate authorization requests with the appropriate medical records and supporting documentation.
  • Communicate with insurance companies regarding authorization status, additional documentation requests, denials, and appeals.
  • Coordinate with surgeons, surgical schedulers, clinic teams, billing staff, and patients to resolve authorization or coverage concerns.
  • Maintain accurate and timely documentation within the electronic medical record and other applicable systems.
  • Monitor pending authorizations, expiration dates, and renewal requirements to prevent delays or cancellations.
  • Assist with resolving denied or delayed authorization requests.
  • Stay informed of payer-specific guidelines, authorization requirements, and regulatory changes.
  • Protect patient confidentiality and maintain compliance with HIPAA and organizational policies.
  • Provide professional, compassionate service when communicating with patients and internal teams.
What We're Looking For
  • High school diploma or equivalent required; associate degree in healthcare administration or a related field preferred.
  • Previous experience with insurance verification, prior authorizations, precertification, medical billing, or healthcare administration preferred.
  • Knowledge of medical terminology, insurance plans, CPT codes, and ICD-10 codes preferred.
  • Strong attention to detail and a commitment to maintaining accurate documentation.
  • Excellent organizational, time-management, and problem-solving skills.
  • Ability to prioritize multiple requests and meet deadlines in a fast-paced environment.
  • Strong written and verbal communication skills.
  • Comfortable communicating with patients, insurance representatives, providers, and clinical teams.
  • Proficiency with electronic medical records, Microsoft Office, and other healthcare-related systems.
  • Ability to work independently while contributing to a collaborative team environment.
Why Join Cataract & Laser Institute?
  • Competitive compensation
  • Medical, dental, and vision insurance
  • 401(k) with company match
  • Paid time off and paid holidays
  • Company-paid life insurance
  • Supportive and team-focused work environment
  • Opportunities to develop your knowledge and grow within the organization
    PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):
    • Physical Activity: Standing for sustained periods of time, Stooping, Grasping, Lifting, Talking, Hearing.
    • Physical requirements: Light work. Must be able to lift up to 15 lbs on a regular basis from floor to waist, 5 lbs from waist to shoulder, and 5 lbs from shoulder to overhead.
    • The worker is required to have close visual acuity to perform each activity.
    • The worker may be exposed to the following hazards:
    • Blood borne pathogens
    • Communicable diseases
    • Chemicals
    • Steam
    • Pressurized cylinders
    • Sharp objects
    • Moving parts of equipment
Make an Impact
As a Surgical Precertification Specialist, your accuracy, persistence, and communication will directly support our patients and surgical teams. By helping resolve insurance requirements before the day of surgery, you will reduce delays, improve the patient experience, and help ensure each patient receives the care they need.
If you are organized, compassionate, and ready to make a meaningful difference in the surgical care process, we encourage you to apply today!
Cataract & Laser Institute is an Equal Opportunity Employer.
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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