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Precertification Jobs in Georgia (NOW HIRING)

Obtains precertifications, or assists in the precertification process, as required by healthcare insurers and/or managed care. Scans & enters documentation to EMR to substantiate patient treatment ...

Office Coordinator

Savannah, GA · On-site

$16.09/hr

Obtains precertifications, or assists in the precertification process, as required by healthcare insurers and/or managed care. Scans & enters documentation to EMR to substantiate patient treatment ...

Obtains precertifications, or assists in the precertification process, as required by healthcare insurers and/or managed care. Scans & enters documentation to EMR to substantiate patient treatment ...

The position also manages communications for Precertification, Case Management, and Care Navigation programs in alignment with Veracity Benefits policies and procedures. Key Responsibilities * Verify ...

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 services. * Collaboration and communication with providers regrading the status of their ...

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Precertification information

See Georgia salary details

$4

$15

$25

How much do precertification jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for precertification in Georgia is $15.98, according to ZipRecruiter salary data. Most workers in this role earn between $12.60 and $23.12 per hour, depending on experience, location, and employer.

What are precertification jobs?

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 are some 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 are the key skills and qualifications needed to thrive in a precertification specialist role, and why are they important?

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 is the difference between Precertification vs Medical Coder?

AspectPrecertificationMedical Coder
Required credentialsCertification may be preferred; knowledge of insurance policiesCertification (e.g., CPC, CCS) often required
Work environmentHealthcare facilities, insurance companies, outpatient clinicsHospitals, clinics, insurance companies, remote work
Employer usageUsed to approve procedures before serviceUsed to assign codes for billing and documentation
Common search intentPrecertification 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 Georgia? The most popular types of Precertification jobs in Georgia are:
What cities in Georgia are hiring for Precertification jobs? Cities in Georgia with the most Precertification job openings:
Office Coordinator

$16.09/hr

Full-time

Posted 13 days ago


St. Joseph's/Candler Health System rating

6.0

Company rating: 6.0 out of 10

Based on 17 frontline employees who took The Breakroom Quiz


Job description

  • Position Summary
    • The Office Coordinator provides administrative support to clinical staff. Answers telephone, screens calls, routes appropriately, retrieves and relays messages. Verifies patient information for registration and insurance verification. Coordinates patient scheduling internally & externally. Obtains precertifications, or assists in the precertification process, as required by healthcare insurers and/or managed care. Scans & enters documentation to EMR to substantiate patient treatment & claim submission. Participates in unit activities to promote patient satisfaction and performance improvement.
  • Education
    • Associates of Healthcare - Preferred
  • Experience
    • 1-2 Years General Medical Office - Preferred
  • License & Certification
    • None Required
  • Core Job Functions
    • Verification of patient demographics, insurance and other vital statistical information required to identify and submit insurance claims for services rendered. Collect information required by government and the health system for analysis as necessary. Scan required documentation to support necessary insurance and healthcare claim processing.
    • Coordinate various forms of communications to ensure messages and correspondences are delivered to the appropriate person. Respond timely to inquiries according to protocol. Prioritize messages and follow up to assure response to urgent messages has occurred.
    • Monitor various reports for precertification need. Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
    • Assures fiscal compliance related to patient billing and coding. Correctly bill patients for services and accurately document to support charges.
    • Perform patient and provider scheduling activities according to SOPs to include but not be limited to clinic visits, referral visits, diagnostic and other treatment visits. Maintain clinical schedule to assure appropriate patient flow per medical staff's expectations and guidelines. Review daily authorization status with insurance representative for all patients coming to the service.

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