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Precertification Jobs in Illinois (NOW HIRING)

Sinai Chicago

INSURANCE VERIFIER

Chicago, IL · On-site

This includes but is not limited to, online eligibility, initiating precertification/authorization, obtaining benefit detail, discussing the patient responsibility prior to arrival and point of ...

Sinai Chicago

INSURANCE VERIFIER

Chicago, IL

This includes but is not limited to, online eligibility, initiating precertification/authorization, obtaining benefit detail, discussing the patient responsibility prior to arrival and point of ...

OSF HealthCare

Prior Authorization Specialist

Peoria, IL · On-site

$18.80 - $22.12/hr

The Specialist impacts the clinical and financial risk to the organization when obtaining insurance precertification or authorization. Qualifications REQUIRED QUALIFICATIONS: Education: High School ...

Rochester Regional Health

Access Associate

Campus, IL · On-site

$17.85 - $20/hr

Complete the registration process for patients as defined by departmental policy; verify insurance eligibility/coverage and obtain necessary precertification/authorization when applicable * Billing ...

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All JobsPrecertification JobsPrecertification Jobs in Illinois

Precertification information

See Illinois salary details

$5

$18

$29

How much do precertification jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for precertification in Illinois is $18.34, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $26.54 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?

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 Illinois?

The most popular types of Precertification jobs in Illinois are:

What are popular job titles related to Precertification jobs in Illinois?

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

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

The top searched job categories for Precertification jobs in Illinois are:

Precertification jobs near you
Infographic showing various Precertification job openings in Illinois as of August 2026, with employment types broken down into 5% As Needed, 82% Full Time, 12% Part Time, and 1% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $38,149 per year, or $18.3 per hour.

Hospital Scheduler

Jersey Community Hospital

Jerseyville, IL • On-site

$16 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Jersey Community Hospital rating

5.8

Company rating: 5.8 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

905th of 1,061 rated hospitals

Job description

Job Type
Full-time
Description
  • Verifies insurance benefits
  • Processes accounts to ensure that patients are preregistered and required insurance authorization and precertification's are obtained prior to the date of service.
  • Communicates with patients and insurance companies regarding coverage and other related matters. Discusses benefits with patients, responds to patient/third party inquiries.
  • Completes insurance verification /pre-certification according to payor requirements: Identifies outpatient procedures that require precertification /second opinion: obtains required information from physician; pre-certifies inpatient admissions.
  • Works with financial counselor to request pre-payment and informs patients of discounts
  • Completes Medicare Questionnaire; ensures that medical necessity is established for Medicare / Medicaid patients
  • Responsible for accurately scheduling diagnostic and/or surgical procedures
  • Conducts physician office/patient interviews and explains hospital procedure guidelines and policies
  • Responsible for obtaining complete and accurate clinical, demographic and financial information during the scheduling process
  • Provides the patient with prep and other appointment instructions
  • Follows guidelines for special requires /STAT/schedule modification procedures and coordinates communications with clinical areas to accommodate the patient requests
  • Notifies patient of physician order, preauthorization and other financial clearance requirements
  • Other duties as assigned

Requirements
Education/Experience:
  • High school graduate or equivalent
  • Prior medical experience and knowledge of insurance policies and procedures preferred
  • Medical terminology preferred

Skills/Abilities:
  • Excellent communication and interpersonal skills required to discuss financial matters with patients and/or their representative, and to work with all levels of professionals at JCH and in other organizations.
  • Ability to comprehend large amounts of complex information, and explain complex insurance benefits to patients and/or their representatives.
  • Ability to respond to quickly changing priorities and patient needs
  • Demonstrated computer skills and related experience preferred

Physical Requirements:
  • Work is of light demand
  • Motor coordination and finger dexterity required to operate computer equipment and other office machines

Benefits:
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Retirement
  • Paid Time Off
  • Tuition Reimbursement
  • Health Savings Account
  • Wellness Program
  • Employee Assistance Program

Salary Description
$16 - $21 per hour - Depending on Experience

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