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Precertification Supervisor Jobs (NOW HIRING)

Mercyhealth

Precertification Specialist JMC

Janesville, WI · On-site

$16.75 - $20.75/hr

... acquire precertification. * Contacts insurance companies or employer groups to obtain ... SUPERVISES This position has no supervisory responsibility. At Mercyhealth, we don't simply hire ...

Mercyhealth

Precertification Specialist JMC

Janesville, WI · On-site

$16.75 - $20.75/hr

... acquire precertification. * Contacts insurance companies or employer groups to obtain ... SUPERVISES This position has no supervisory responsibility. At Mercyhealth, we don't simply hire ...

Mayo Clinic

$21.48 - $33.60/hr

The Precertification and Authorization Call Center Representative I reports to the Patient Access Supervisor. The position requires interaction and collaboration with insurance company ...

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How much do precertification supervisor jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for precertification supervisor in the United States is $21.13, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $22.84 per hour, depending on experience, location, and employer.

What is the difference between Precertification Supervisor vs Preauthorization Coordinator?

AspectPrecertification SupervisorPreauthorization Coordinator
CredentialsTypically requires relevant healthcare certifications, experience in insurance or medical billingOften requires similar certifications, with a focus on insurance verification and authorization procedures
Work EnvironmentSupervises team members in healthcare or insurance settings, overseeing precertification processesHandles day-to-day authorization requests, working closely with providers and insurance companies
Employer & IndustryHospitals, insurance companies, healthcare providersMedical offices, clinics, insurance firms

The Precertification Supervisor oversees the precertification process and manages staff, while the Preauthorization Coordinator handles the direct authorization requests. Both roles require similar credentials and work within healthcare and insurance environments, but differ in scope and responsibilities.

Is prior authorization a stressful job?

A precertification supervisor's role involves managing prior authorization processes, which can be stressful due to strict deadlines, complex documentation, and the need for accuracy. The job requires strong organizational skills and attention to detail to reduce errors and ensure timely approvals.

What are the key skills and qualifications needed to thrive as a Precertification Supervisor, and why are they important?

A Precertification Supervisor needs a deep understanding of insurance authorization processes, medical terminology, and healthcare regulations, typically backed by a healthcare-related degree and relevant experience. Familiarity with precertification software, electronic health record (EHR) systems, and payer portals is essential, and certifications such as Certified Professional in Healthcare Quality (CPHQ) can be advantageous. Strong leadership, attention to detail, and effective communication are crucial for managing teams and ensuring accurate, timely approvals. These skills ensure that patients receive necessary care without delays, reduce claim denials, and support organizational compliance.

What are Precertification Supervisors?

Precertification Supervisors are healthcare professionals who oversee the precertification process, ensuring that medical procedures, treatments, and hospital admissions are authorized by insurance providers before they occur. They manage a team of precertification specialists, review complex cases, ensure compliance with insurance guidelines, and collaborate with healthcare providers to gather necessary documentation. Their main goal is to streamline the authorization process, minimize claim denials, and support patient care by ensuring timely approvals.

How does a Precertification Supervisor typically collaborate with clinical and administrative teams to ensure timely approvals?

A Precertification Supervisor plays a key role in bridging communication between clinical staff, such as nurses and physicians, and administrative teams like billing and insurance coordinators. They coordinate workflows to ensure that documentation is complete and submitted promptly for insurance preauthorizations, minimizing treatment delays for patients. Regular meetings and process updates with both clinical and administrative staff are common, allowing the supervisor to address bottlenecks and implement improvements. This collaborative approach is essential for maintaining compliance and achieving efficient patient care delivery.
What cities are hiring for Precertification Supervisor jobs? Cities with the most Precertification Supervisor job openings:
What states have the most Precertification Supervisor jobs? States with the most job openings for Precertification Supervisor jobs include:
Precertification Supervisor jobs near you
Precertification Specialist

Precertification Specialist

Heart and Vascular Care

Alpharetta, GA • Hybrid

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Precertification Specialist

We are hiring a Precertification Specialist for an exciting opportunity to join our growing team!

This will be a hybrid role after 2 to 4 weeks of training. Training is in our Regional Support office M-F from 8-5. After completing training you will work 4 days remote / 1 day at our Regional Support office in Alpharetta.

Hours: Monday-Friday, 8AM - 5PM, no nights or weekends

Duties may include but not limited to:

  • Responsible for obtaining complete and accurate insurance information, benefit verification, accurately interpreting benefit plans and investigating pertinent details. Notifies supervisor of known or potential issues.
  • Utilize ICD-10 and CPT codes to ensure proper authorization for procedure and claims payment.
  • Responsible for explaining benefits, the billing process and financial responsibilities to patients.
  • Responsible for ensuring treatment is medically necessary, align with established standards, payer guidelines and are approved within the required timeframe.
  • Maintain accurate documentation of authorization and other related information.
  • Utilization of payer portals
  • Record all communication with providers and personnel in standardized documentation and proper format
  • Review denial reasons and follow the appeal process in a timely manner. Arrange peer to peer, if applicable.
  • Provides detailed, accurate and current clinical information to insurance representatives complying with HIPAA regulations.

Requirements:

  • Dependable team player is a must.
  • Ability to work in a fast paced environment.
  • Prior medical experience is required.

Heart and Vascular Care is a cardiology practice that places a priority on compassionate patient care and service. In our team-based and family-oriented setting, we strive to set a new bar for patient healthcare through a modern, friendly, and thoughtful approach.

Come be a part of our growing team. Apply and someone will be in touch!

Apply