POSITION SUMMARY The Precertification Specialist at Borland Groover is a part of the Patient Access department. The general duty of this position is to ensure each patient has a referral and/or ...
POSITION SUMMARY The Precertification Specialist at Borland Groover is a part of the Patient Access department. The general duty of this position is to ensure each patient has a referral and/or ...
POSITION SUMMARY The Precertification Specialist at Borland Groover is a part of the Patient Access department. The general duty of this position is to ensure each patient has a referral and/or ...
POSITION SUMMARY The Precertification Specialist at Borland Groover is a part of the Patient Access department. The general duty of this position is to ensure each patient has a referral and/or ...
POSITION SUMMARY The Precertification Specialist at Borland Groover is a part of the Patient Access department. The general duty of this position is to ensure each patient has a referral and/or ...
POSITION SUMMARY The Precertification Specialist at Borland Groover is a part of the Patient Access department. The general duty of this position is to ensure each patient has a referral and/or ...
Precertification Counselor - Hybrid
Tampa, FL · On-site
$19 - $21/hr
The Precertification Counselor responsible for accurately and efficiently capturing all assigned provider's surgical cases scheduled, verifying the patient's surgical benefits, and obtaining all ...
Quick apply
Precertification Counselor - Hybrid
Tampa, FL · On-site
$19 - $21/hr
The Precertification Counselor responsible for accurately and efficiently capturing all assigned provider's surgical cases scheduled, verifying the patient's surgical benefits, and obtaining all ...
Precertification Counselor - Hybrid
Temple Terrace, FL · On-site
$19 - $21/hr
The Precertification Counselor responsible for accurately and efficiently capturing all assigned provider's surgical cases scheduled, verifying the patient's surgical benefits, and obtaining all ...
Precertification Counselor - Hybrid
Temple Terrace, FL · On-site
$19 - $21/hr
The Precertification Counselor responsible for accurately and efficiently capturing all assigned provider's surgical cases scheduled, verifying the patient's surgical benefits, and obtaining all ...
Your future role at a glance Location: Pensacola, FL Facility: Ascension Sacred Heart Cancer Center Schedule: Day | Full-time | Monday - Friday How you'll make an impact in this role * Obtain ...
Your future role at a glance Location: Pensacola, FL Facility: Ascension Sacred Heart Cancer Center Schedule: Day | Full-time | Monday - Friday How you'll make an impact in this role * Obtain ...
Your future role at a glance Location: Pensacola, FL Facility: Ascension Sacred Heart Cancer Center Schedule: Day | Full-time | Monday - Friday Life at Ascension: Where purpose meets opportunity ...
Your future role at a glance Location: Pensacola, FL Facility: Ascension Sacred Heart Cancer Center Schedule: Day | Full-time | Monday - Friday Life at Ascension: Where purpose meets opportunity ...
Concurrent Review Nurse
Miami, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Miami, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Doral, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Doral, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Miami, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Miami, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Doral, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Doral, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Doral, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Doral, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Doral, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Concurrent Review Nurse
Doral, FL · On-site
This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed ...
Registered Nurse (51021)
Marathon, FL · On-site
$37.45/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51021)
Marathon, FL · On-site
$37.45/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51256)
Marathon, FL · On-site
$37.45/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51256)
Marathon, FL · On-site
$37.45/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51021)
Marathon, FL · On-site
$37.45/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51021)
Marathon, FL · On-site
$37.45/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51256)
Marathon, FL · On-site
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51256)
Marathon, FL · On-site
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51256)
$37.45/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51256)
$37.45/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Mobile MAT Licensed Practical Nurse (51007)
Miami, FL · On-site
$24.03/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures * Makes rounds to assess patient needs, unit safety ...
Mobile MAT Licensed Practical Nurse (51007)
Miami, FL · On-site
$24.03/hr
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures * Makes rounds to assess patient needs, unit safety ...
Registered Nurse (51021)
Marathon, FL · On-site
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Registered Nurse (51021)
Marathon, FL · On-site
Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time * Makes daily rounds at least twice ...
Precertification information
See Florida salary details
$3.95 - $5.67
0% of jobs
$5.67 - $7.38
7% of jobs
$7.38 - $9.10
5% of jobs
$9.10 - $10.81
0% of jobs
$11.22 is the 25th percentile. Wages below this are outliers.
$10.81 - $12.53
53% of jobs
$13.78 is the 75th percentile. Wages above this are outliers.
$12.53 - $14.24
13% of jobs
$14.24 - $15.96
0% of jobs
$15.96 - $17.67
0% of jobs
$17.67 - $19.38
1% of jobs
$19.38 - $21.10
6% of jobs
$21.10 - $22.81
14% of jobs
$3
$14
$22
How much do precertification jobs pay per hour?
As of Aug 25, 2026, the average hourly pay for precertification in Florida is $14.14, according to ZipRecruiter salary data. Most workers in this role earn between $11.15 and $20.48 per hour, depending on experience, location, and employer.
What is a precertification specialist?
Precertification jobs involve reviewing and approving medical procedures, treatments, or hospital admissions before they occur to ensure they meet insurance or regulatory requirements. Professionals in these roles typically evaluate patient information, communicate with healthcare providers, and coordinate with insurance companies to determine if services will be covered. This process helps control healthcare costs and ensures that patients receive appropriate care according to established guidelines. Precertification specialists often work in hospitals, insurance companies, or healthcare administration settings.
What skills and qualifications are needed to thrive as a precertification specialist?
Success as a precertification specialist requires knowledge of medical terminology, insurance verification, and healthcare regulations, often supported by a background in healthcare administration or certification such as Certified Medical Administrative Assistant (CMAA). Familiarity with insurance portals, electronic health record (EHR) systems, and payer-specific software is typically necessary. Attention to detail, strong organizational skills, and effective communication are vital soft skills that help in coordinating between providers, patients, and insurers. These abilities ensure accurate and timely approval of medical procedures, reducing delays in patient care and minimizing claim denials.
What are common challenges faced by precertification specialists, and how can they be addressed?
Precertification Specialists often face challenges such as staying up-to-date with constantly changing insurance guidelines, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To address these, it is important to maintain strong organizational skills, leverage available technology for tracking authorizations, and participate in ongoing training to remain current on payer requirements. Building good relationships with team members and regularly sharing updates can also help streamline processes and minimize delays.
What is the difference between Precertification vs Medical Coder?
| Aspect | Precertification | Medical Coder |
|---|---|---|
| Required credentials | Certification may be preferred; knowledge of insurance policies | Certification (e.g., CPC, CCS) often required |
| Work environment | Healthcare facilities, insurance companies, outpatient clinics | Hospitals, clinics, insurance companies, remote work |
| Employer usage | Used to approve procedures before service | Used to assign codes for billing and documentation |
| Common search intent | Precertification vs Medical Coder |
Precertification involves obtaining approval from insurance companies before procedures, focusing on insurance policies and patient eligibility. Medical coders assign standardized codes to medical records for billing, emphasizing coding accuracy and documentation. While both roles are integral to healthcare billing, precertification is about approval processes, whereas medical coding centers on documentation and coding accuracy.
What are the most commonly searched types of Precertification jobs in Florida?
The most popular types of Precertification jobs in Florida are:
What are popular job titles related to Precertification jobs in Florida?
For Precertification jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Precertification jobs in Florida look for?
The top searched job categories for Precertification jobs in Florida are:
- Remote Medical Billing Accounts Receivable
- Medical Billing Specialist Temporary To Permanent
- Medical Coding Billing Student
- Urgently Hiring Claims Appeals Specialist
- Non Exempt Remote Scanning
- Evening Aia Billing Specialist
- Work From Home Ophthalmic Coding Specialist
- Full Time Remote Medical Billing & Coding
- Entry Level Independent Contractor Medical Billing & Coding
- Remote Rare Disease Specialist
What cities in Florida are hiring for Precertification jobs?
Cities in Florida with the most Precertification job openings:
Precertification Specialist
Jacksonville, FL • On-site
Borland Groover •
Health Care and Social Assistance • 501 - 1,000 employees501 - 1,000 employees
7.1
Based on 10 frontline employees who took The Breakroom Quiz
People enjoy working here
Good employer
Good training
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 12 days ago
Job description
COMPANY DESCRIPTION
Borland Groover is one of Florida’s leading gastroenterology providers. Founded in 1947, our mission is to provide exceptional care and improve the lives of our patients. We value ourselves on delivering quality care (quality), doing the right thing (accountability), caring for our patients (compassion), and taking care of our employees (collaboration). If you love the vision of Borland Groover, and find your values aligning with ours, apply to join our team!
POSITION SUMMARY
The Precertification Specialist at Borland Groover is a part of the Patient Access department. The general duty of this position is to ensure each patient has a referral and/or authorization so that the clinic and ambulatory surgical centers will be reimbursed for all services rendered.
ESSENTIAL JOB FUNCTIONS
- Verify benefits and/or eligibility of patients that are scheduled to be seen.
- Obtain a referral as needed before a patient is seen by a physician.
- Obtain precertifications before tests and procedure(s) are performed.
- Take incoming calls from patients to help them better understand their insurance and requirements and/or to schedule or
- reschedule patient appointments as needed.
- Conduct outbound calls to patients as necessary.
- Complete payment arrangements for patients when necessary.
- Contact insurance companies to inquire about benefits or authorizations requirements.
- Assist the satellite office personnel with insurance or precertification comprehension as needed.
- Answer nurse or patient portal inquiries assigned to the department.
- This job requires access to Personal Health Information (PHI), HIPAA training is required, and HIPAA compliance is expected.
- Must follow the organization’s Code of Conduct.
- Must participate in the Compliance Program Initiatives and reporting and Compliance Issues.
- Handle all other duties as assigned.
COMPETENCIES
- Communication - Exhibits good listening and comprehension. Expresses ideas and thoughts in written form. Expresses ideas and thoughts verbally. Keeps others adequately informed. Selects and uses appropriate communication methods
- Critical Thinking and Problem Solving - The ability to handle complex situations in the workplace and calmly develop creative solutions.
- Compassion - Exhibits empathy or real concern for patients coupled with a desire to take action to address the patient's needs.
- Time-Management - The ability to plan your duties ahead of time and leveraging technology to help you do so efficiently.
GENERAL QUALIFICATIONS
- Ability to communicate effectively with patients, physicians and staff both verbally and in writing.
- Works well with patients, physicians, and staff.
- Attention to detail.
- Ability to handle multiple tasks in a possibly stressful environment.
- Ability to handle patient issues in a tact, professional way.
EDUCATION AND EXPERIENCE
- High School diploma required.
- Previous experience preferred but not required.
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Physical Demands
- Sitting: Prolonged periods of sitting at a desk and working on a computer: essential
- Moderate lifting (15-20 lbs.): essential
- Walking: Must be able to access and navigate each department at the organization’s facilities: essential
- Pushing/Pulling: marginal
- Standing: essential
- Repetitive motion: marginal
- Reaching: marginal
- Bending: marginal
Emotional Demands
- Fast pace: essential
- Multiple Stimuli: essential
- Intense customer interaction: essential
- Frequent change: essential
Mental/Sensory Demands
- Memory: essential
- Reasoning: essential
- Hearing: essential
- Reading: essential
- Analyzing: essential
- Logic: essential
- Verbal communication: essential
- Written communication: essential
BENEFITS (FULL-TIME EMPLOYEES)
- Health Insurance
- Dental Insurance
- Vision Insurance
- 401K Retirement Plan
- Life Insurance
- Short- and Long-term disability
- Profit Sharing
- Supplemental Insurance
- Education and Tuition Reimbursement funding
- Initial Uniform Allowance
- Employee Assistance Program (EAP)
- Paid Time Off (PTO)
- Volunteer Time Off (VTO)
- Paid Holidays
About Borland Groover
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Jacksonville, FL, US
Year founded
1947
Website
What Borland Groover employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom