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Precertification Supervisor Jobs (NOW HIRING)

OneVeracity

Provider Access Coordinator

Kennesaw, GA · On-site

... precertification requests. * Accurately document all case activities, including verbal and written communications, referrals, and resource identification. * Engage clinical staff or supervisors for ...

OneVeracity

Precert Intake Coordinator

Kennesaw, GA · On-site

$16.75 - $22.75/hr

Collect clinical information and set up cases for medical necessity review for precertification ... Engages clinical staff or other designated supervisor for consultations when appropriate.

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How much do precertification supervisor jobs pay per hour?

As of Jun 7, 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
Surgical Services Precertification Specialist

Surgical Services Precertification Specialist

Cataract & Laser Institute

Fort Wayne, IN • On-site

$13 - $17/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Surgical Services Precertification Specialist

Job Category: Clinic Requisition Number: SURGI005208

Posted: May 7, 2026

Full-Time

On-site

Fort Wayne, IN 46802, USA

Job Details

Position Summary: With customer service orientation, verifies patient's insurance benefits and eligibility. Obtains required authorization, provides procedure codes and fee estimates and collects prepayment from patients when appropriate.

What We Offer:

  • Starting wage of $13 - 17 per hour based on previous experience
  • 6.5 paid holidays per year
  • Approximately 10 days of PTO within first year
  • Full slate of benefits to include health, dental, vision, and 401k
  • Growth and wage increase through company paid certification program

Essential Responsibilities:

  • Monitor scheduled surgeries and maintain organized list with status of pre-certification process.
  • Verify insurance eligibility and benefits via phone and/or internet access. Update insurance policy information in Eyecare as required.
  • Check insurance payment policy for scheduled procedures and obtain prior authorization when required.
  • Verify receipt of all necessary pre-authorization documents prior to procedure.
  • Communicate effectively with the facility in which the procedure will be performed as needed.
  • Assign appropriate ICD and CPT codes pre-operatively based on documentation and booking slips.
  • Notify primary care physician for managed care plans that require PCP authorization.
  • Supply patients with written or verbal estimates of surgical codes and fees upon request.
  • Meet with patients pre-operatively or communicate effectively as necessary with patients so they understand the billing process and their financial expectations pre-operatively.
  • Collect pre-payment from the patient when necessary.
  • Notify patients with past due accounts of pre-payment policy for elective surgery. Receive payments from patients.
  • Assist with check-in and check-out when needed. Serve as a resource on insurance, billing and customer service for reception and cashier.
  • Monitor cash box and report balance to supervisor and accounting department monthly.
  • Perform other duties or functions as assigned.

Education and/or Experience:

  • A minimum of two (2) year's experience in the medical field.
  • Must have a strong knowledge of anatomy, physiology, medical terminology, and medical insurance.

Physical Demands and Work Environment (per ADA guidelines):

  • Physical Activity: Talking, Hearing, Repetitive motion.
  • Physical Requirements: Sedentary work. Involves sitting most of the time.
  • The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.

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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