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Precertification Jobs in Ohio (NOW HIRING)

Optima Dermatology

Medical Assistant

Mentor, OH

$15.75 - $20.25/hr

Records precertification number in chart. Records and tracks all referrals. * Takes manual inventory of drugs. Checks expiration dates and orders replenishments as needed. Orders supplies for back ...

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All JobsPrecertification JobsPrecertification Jobs in Ohio

Precertification information

See Ohio salary details

$5

$17

$29

How much do precertification jobs pay per hour?

As of Jun 13, 2026, the average hourly pay for precertification in Ohio is $17.99, according to ZipRecruiter salary data. Most workers in this role earn between $14.18 and $26.06 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 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 June 2026, with employment types broken down into 2% As Needed, 84% Full Time, 12% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $37,427 per year, or $18 per hour.
Clinical Clearance Representative (3103)

Clinical Clearance Representative (3103)

Mary Rutan Health

Bellefontaine, OH • On-site

$15.50 - $19.50/hr

Full-time

Posted 21 days ago

Job description

Job Summary -
Contacting insurance companies, physicians, and patients to ensure that pre-certification and/or pre-authorization determination can be made for scheduled services. This may include liaising with physician offices and third party payors. Also responsible for ensuring adherence to payor medical necessity guidelines and MRH medical necessity policies as well as conducting payor notifications for non-scheduled inpatient encounters. This position reports to the Pre-Service Supervisor
Regulatory Requirements
  • MINIMUM EDUCATION REQUIRED: High school degree or GED.
  • MINIMUM EXPERIENCE REQUIRED: At least two (2) previous years of related healthcare Revenue Cycle experience specifically with precertification/authorization experience. Understanding of Medical Terminology and clinical documentation which must be demonstrated through prior education or work history.
  • ADDITIONAL PREFERRED QUALIFICATIONS: At least three (3) previous years of related healthcare Revenue Cycle experience, preferably within pre-certification setting. A license or certification within the medical field, such as an CMA, LPA, certified coder, or RN.

Language Skills
  • Ability to communicate in English, both verbally and in writing.
  • Additional languages preferred.
  • Excellent interpersonal skills.

Skills
  • Clear understanding of the impact Clinical Clearance has on Revenue Cycle operations and financial performance.
  • Excellent written, verbal communication and interpersonal skills.
  • Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment.
  • A demonstrated ability to use PC based office productivity tools (e.g. Microsoft Outlook, Microsoft Excel) as necessary; general computer skills necessary to work effectively in an office environment.
  • Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.

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