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Precertification Jobs in New York (NOW HIRING)

Robert Half

Precertification Nurse Administrator

Union, NJ · On-site

$70K - $87K/yr

benefits: * medical * dental * vision * profit sharing * pension * paid time off Responsibilities: * Handle insurance authorization process for hospital or medical procedures * Work with physicians ...

Paonessa Colon And Rectal Surg

Be Seen First

Certified Medical Assistant

Manasquan, NJ · On-site

$18 - $23/hr

Communicate with insurance companies for proper billing procedures, insurance eligibility, precertification, etc. * Escort patients to exam rooms and assist in the exam rooms, including assisting ...

Paonessa Colon And Rectal Surg

Be Seen First

Certified Medical Assistant

Manasquan, NJ · On-site

$18 - $23/hr

Communicate with insurance companies for proper billing procedures, insurance eligibility, precertification, etc. * Escort patients to exam rooms and assist in the exam rooms, including assisting ...

Advocare Neurowellness MD

Medical Assistant

Denville, NJ · On-site

$17 - $18/hr

... obtain precertification fromInsurance Carriers for Tests (MRI, CT scans etc.) · Follow up with patients regarding testresults, appointments, prescription refills · Experience in the area of ...

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All JobsPrecertification JobsPrecertification Jobs in New York

Precertification information

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 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 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 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 popular job titles related to Precertification jobs in New York? For Precertification jobs in New York, the most frequently searched job titles are:
What job categories do people searching Precertification jobs in New York look for? The top searched job categories for Precertification jobs in New York are:
Precertification jobs near you
Infographic showing various Precertification job openings in New York as of July 2026, with employment types broken down into 3% As Needed, 81% Full Time, 15% Part Time, and 1% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution.

INSURANCE PRECERTIFICATION MVA/WC/OON

HESS SPINE AND ORTHOPEDICS LLC

Fairfield, NJ • On-site

$25 - $29/hr

Full-time

Medical, Retirement, PTO

Re-posted 10 days ago

Job description

Benefits:
  • 401(k)
  • Competitive salary
  • Health insurance
  • Paid time off

Job description

Job Overview
MUST HAVE EXPERIENCE WITH PRECERTIFICATION /VERIFICATION OF BENEFITS FOR PIP, AND ALSO EXPERIENCE WITH HEALTH INSURANCE BENEFITS. We are seeking a dedicated and detail-oriented precertification and insurance verification Specialist to join our dynamic team. PIP and major medical health insurances. The ideal candidate will play a crucial role in supporting various functions within the organization, ensuring that processes run smoothly and efficiently. This position requires a proactive individual who can manage multiple tasks while maintaining a high level of accuracy and professionalism.
Responsibilities

  • Collaborate with team members to identify and implement process improvements.
  • Analyze data and prepare reports to support decision-making.
  • Assist in the development and execution of projects, ensuring timelines are met.
  • Provide exceptional support to internal and external stakeholders, addressing inquiries and resolving issues promptly.
  • Maintain accurate records and documentation related to projects and operations.
  • Participate in training sessions to enhance skills and knowledge relevant to the role.
Skills

  • Strong analytical skills with the ability to interpret data effectively.
  • Excellent communication skills, both written and verbal, for clear interaction with team members and stakeholders.
  • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and EMR/EHR software tools.
  • Attention to detail with strong organizational skills to manage multiple tasks efficiently.
  • Ability to work independently as well as collaboratively within a team environment.
  • Problem-solving mindset with a focus on continuous improvement.
We encourage all qualified candidates who meet the above criteria to apply for this exciting opportunity to contribute significantly to our organization as a Specialist.
Job Type: Full-time
Pay: $25.00 - $29.00 per hour
Expected hours: 40 per week
Benefits:
  • Health insurance
  • Paid time off
Schedule:
  • 8 hour shift
  • Monday to Friday
Experience:
  • PIP PRECERT: 3 years (Required)
  • INSURANCE VERIFICATION: 2 years (Required)
Ability to Commute:
  • FAIRFIELD, NJ 07012 (Required)
Ability to Relocate:
  • FAIRFIELD, NJ 07012: Relocate before starting work (Required)
Work Location: In person