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Precertification Jobs in Houston, TX (NOW HIRING)

Minimum 2+ years of experience in working in precertification. * Working knowledge of managed care in all areas, most notably: referrals, insurance verification, and precertification. * Knowledge of ...

Current TxDOT Precertification in appropriate category or the ability to quickly obtain precertification Grow With Us Garver offers its employees programs such as company-paid professional ...

... precertification or ability to acquire 1.8.1 TxDOT precertification · Ability to travel locally and work during some evenings and weekends as needed. · Proficient with Microsoft Word, Excel, PDF ...

Current TxDOT Precertification in appropriate category or the ability to quickly obtain precertification Grow With Us Garver offers its employees programs such as company-paid professional ...

... precertification or ability to acquire 1.8.1 TxDOT precertification · Ability to travel locally and work during some evenings and weekends as needed. · Proficient with Microsoft Word, Excel, PDF ...

RPLS/SIT- Licensed to Lead!

Houston, TX

$77K - $106K/yr

RPLS Licensure/DOT Precertification - SIT will also be considered * Strong Computer Skills, working knowledge of AutoCAD Civil 3D, MicroStation and Microsoft Office * Prior experience with civil ...

RPLS/SIT- Licensed to Lead!

Houston, TX · On-site

$77K - $106K/yr

RPLS Licensure/DOT Precertification - SIT will also be considered * Strong Computer Skills, working knowledge of AutoCAD Civil 3D, MicroStation and Microsoft Office * Prior experience with civil ...

RPLS/SIT- Licensed to Lead!

Houston, TX · On-site

$77K - $106K/yr

RPLS Licensure/DOT Precertification - SIT will also be considered * Strong Computer Skills, working knowledge of AutoCAD Civil 3D, MicroStation and Microsoft Office * Prior experience with civil ...

Medical Assistant (2692)

Katy, TX · On-site

$15.25 - $19.75/hr

May also be responsible for insurance precertification, prior authorization, procedure/surgery scheduling and coordinating transfers and admissions. * Additional duties as assigned based on practice ...

Medical Assistant (2729)

Houston, TX · On-site

$17 - $21.75/hr

May also be responsible for insurance precertification, prior authorization, procedure/surgery scheduling and coordinating transfers and admissions. * Additional duties as assigned based on practice ...

Medical Assistant (2822)

Houston, TX · On-site

$16 - $20.50/hr

May also be responsible for insurance precertification, prior authorization (until fully transitioned to the billing team). * May be required to move between locations as needed. * Performs other ...

Medical Assistant (2795)

Houston, TX · On-site

$16 - $20.50/hr

May also be responsible for insurance precertification, prior authorization (until fully transitioned to the billing team). * May be required to move between locations as needed. * Performs other ...

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Precertification information

See Houston, TX salary details

$5

$18

$29

How much do precertification jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for precertification in Houston, TX is $18.07, according to ZipRecruiter salary data. Most workers in this role earn between $14.23 and $26.15 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 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.

Infographic showing various Precertification job openings in Houston, TX 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, with an average salary of $37,595 per year, or $18.1 per hour.

Precertification Coordinator

CYNET SYSTEMS

Houston, TX • On-site

$24/hr

Contractor

Re-posted 18 days ago


Job description

Job Overview:

Requirement/Must Have:

  • Minimum 2+ years of experience in working in precertification.
  • Working knowledge of managed care in all areas, most notably: referrals, insurance verification, and precertification.
  • Knowledge of medical terminology.
  • Familiarity with ICD-9 and ICD-10.
  • Strong analytical skills with the ability to assess and analyze trends to determine the most effective approach to bill.
  • Detail-oriented and strong critical thinking skills for solving problems on your own.
  • Ability to perform multiple tasks simultaneously and problem solve efficiently.
  • Excellent organizational and interpersonal skills.
  • Strong desire to learn and utilize technology effectively.
  • Some experience with Microsoft Office including Teams.
  • Quickly able to enter data accurately and understand the information entered.
  • Flexibility to work overtime occasionally, typically when onboarding new clients.

Responsibilities:

  • Accurately complete all fields in the patient demographic and insurance screens within the computer system.
  • Call the patient's insurance company to verify eligibility and obtain benefit coverage for office visits, outpatient tests, surgery, and inpatient admissions.
  • Attempt to obtain and document in the computer system referral details and referral modifications for specialty care and testing for patients with insurance plans requiring formal referral documentation.
  • Obtain and document in the computer system the precertification/preauthorization number from insurance companies prior to each surgical procedure and diagnostic test.
  • Assist patients with scheduling new patient office visits with CVCP provider offices.
  • Create and distribute the CVCP Inpatient and Outpatient Service Lists and manifests to CVCP surgeons and consultants.
  • Complete all fields within the computer system necessary to process claims and re-route claims to the billing department per assigned deadline.
  • Distribute The Admit List daily by 1 p.m., identify possible CVCP patients, and distribute the list to precertification staff for processing.
  • Correct any account in which errors have occurred per the assigned deadline.
  • Maintain constant communication among the physician, insurance company, and CVCP regarding authorization and the CVCP authorization status on patients.
  • Maintain a minimum average of 30 CVCP authorizations per day with proven accuracy after 3 months.
 

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading staffing and recruiting powerhouse. Proudly recognized as a nationally and locally certified diversity firm, Cynet delivers agile, scalable talent solutions across industries. With an active footprint in all 50 U.S. states and Canada, we support thousands of consultants through our expansive, high-performing recruitment engine operating across North America and Asia—ensuring speed, quality, and consistency in every hire.

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About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

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