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Precertification Jobs in Ohio (NOW HIRING)

LMHS

Surgery Scheduler/Medical Assistant- Urology

Newark, OH · On-site

$17.25 - $22.25/hr

Performs various other clerical and record keeping tasks related to registration, scheduling, precertification. Responsibilities * Prepares demographic, medical and insurance information by direct ...

LMHS

Surgery Scheduler/Medical Assistant- Urology

Newark, OH · On-site

$17.25 - $22.25/hr

Performs various other clerical and record keeping tasks related to registration, scheduling, precertification. Responsibilities * Prepares demographic, medical and insurance information by direct ...

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All JobsPrecertification JobsPrecertification Jobs in Ohio

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 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 Ohio?

The most popular types of Precertification jobs in Ohio are:

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

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

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

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

Precertification jobs near you
Infographic showing various Precertification job openings in Ohio as of September 2026, with employment types broken down into 4% As Needed, 80% Full Time, 15% Part Time, and 1% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Surgery Scheduler/Medical Assistant- Urology

Newark, OH • On-site

LMHS
See more jobs at LMHSexternal

$17.25 - $22.25/hr

Other

Posted 25 days ago

Job description

Surgery Scheduler/Medical Assistant
LMHP
Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness.
When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors and into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Join us in our mission – dedicated to patient safety, utilizing state-of-the-art technology, and with a passionate team of highly trained and compassionate individuals who strive to improve the health of the community.
Position Summary
According to established policies and procedures, schedules outpatients for all ancillary services, and obtain precertification information on all outpatients. Performs various other clerical and record keeping tasks related to registration, scheduling, precertification.
Responsibilities
    • Prepares demographic, medical and insurance information by direct interview of patients and/or families; enters all necessary information into computer records; prioritizes according to urgency status so that service to the patient is not delayed unnecessarily; prepares complete and accurate forms and other various materials for pre-registration or registration of all inpatients and outpatients.
    • Maintains the confidentiality of information acquired through the performance of job duties.
    • Accurately schedules all outpatients requiring tests or procedures in the ancillary departments from verbal or written orders of physicians or their staff using established procedures and minimizing the number of visits each patient is required to make.
    • Contacts various departments regularly to gather information regarding changes to be made in the computerized daily appointment schedules.
    • Insures that prior authorization for service is obtained according to established Hospital policy. If necessary, notifies admitting physician and/or patient when insurance company refuses admission authorization.
    • Responsible for ensuring that personal performance reflects the LMHS Mission, Vision, Standards of Behavior and Service Goals.
    • Practices acceptable universal precautions and isolation techniques.

Preferences
    • Prior knowledge of Coding/CPT Codes
    • Work requires familiarity with Urology and surgery process
    • Must have exceptional interpersonal skills to deal effectively with internal and external customers.
    • Must have aptitude and ability to prioritize and organize work effectively, using discretion, initiative, and independent judgement to follow through with assignments.
    • Minimum requirement, high school diploma or GED.
    • LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards.

Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.
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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