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Precertification Jobs in Ohio (NOW HIRING)

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Review insurance eligibility and precertification needs * Communicate with providers, billing, and clinical staff to ensure smooth patient flow Qualifications * Medical Assistant certification or ...

Be Seen First

Review insurance eligibility and precertification needs * Communicate with providers, billing, and clinical staff to ensure smooth patient flow Qualifications * Medical Assistant certification or ...

SCHEDULING COORDINATOR SEC

Dayton, OH · On-site

$17.25 - $21.75/hr

... precertification when applicable while maintaining compliance with regulatory requirements. The scheduler in the environment must maintain good rapport when working with clinical providers including ...

SCHEDULING COORDINATOR SEC

Dayton, OH · On-site

$17.25 - $21.75/hr

... precertification when applicable while maintaining compliance with regulatory requirements. The scheduler in the environment must maintain good rapport when working with clinical providers including ...

SCHEDULING COORDINATOR SEC

Dayton, OH · On-site

$17.25 - $21.75/hr

... precertification when applicable while maintaining compliance with regulatory requirements. The scheduler in the environment must maintain good rapport when working with clinical providers including ...

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Precertification information

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:
Infographic showing various Precertification job openings in Ohio as of July 2026, with employment types broken down into 3% As Needed, 82% Full Time, and 15% Part Time. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.
Medical Receptionist Medical Assistant

Medical Receptionist Medical Assistant

Capitol Sleep Medicine

Columbus, OH • On-site

$17 - $19/hr

Full-time

Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Busy Sleep Clinic looking for front desk, Medical assistant to check in and room patients, check vitals. Prior experience with CPAP and BIPAP machines a plus. Medical assisting degree is not a must, we can train, but prior experience in the health care field required.

Candidate must be hardworking, have good attendance and patient skills. Candidate must be willing to work as a team.

Medical Assistant / Front Desk

We are seeking a dependable and detail-oriented Medical Assistant/Front Desk team member to support our busy sleep medicine clinic. This role combines patient intake, clinical support, insurance verification, and scheduling for sleep studies and home sleep testing. The ideal candidate is professional, organized, and comfortable in a fast-paced medical environment.  Must be a quick learner, a team player, and have good attendance

Responsibilities

  • Greet and check in patients; verify photo ID and insurance
  • Collect copays and document payments accurately
  • Scan and maintain patient records and forms in the EMR system
  • Record vitals (height, weight, blood pressure, pulse, neck size)
  • Schedule sleep studies, home sleep tests, and follow-up appointments
  • Review insurance eligibility and precertification needs
  • Communicate with providers, billing, and clinical staff to ensure smooth patient flow

Qualifications

  • Medical Assistant certification or healthcare office experience preferred
  • Experience with EMR systems
  • Knowledge of insurance verification and patient intake processes

Requirements

  • Ability to travel between Grove City and Knightsbridge
  • Professional demeanor and HIPAA compliance

Benefits

  • Dental insurance
  • Paid time off
  • Vision insurance

Company Description

We are a Sleep Medicine practice serving central Ohio for over 25 years.