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$5

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$30

How much do precertification jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for precertification in the United States is $18.93, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $27.40 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 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.

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What cities are hiring for Precertification jobs?

Cities with the most Precertification job openings:

What are the most commonly searched types of Precertification jobs?

The most popular types of Precertification jobs are:

What states have the most Precertification jobs?

States with the most job openings for Precertification jobs include:

What job categories do people searching Precertification jobs look for?

The top searched job categories for Precertification jobs are:

Precertification jobs near you
Infographic showing various Precertification job openings in the United States as of September 2026, with employment types broken down into 5% As Needed, 81% Full Time, and 14% Part Time. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $39,368 per year, or $18.9 per hour.

Precertification Specialist

Wabash, IN • On-site

Cataract & Laser Institute
Outpatient Health Care • 1 - 10 employees
Learn more about Cataract & Laser Instituteexternal

$15.75 - $19.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Job description

Join Our Team!
Cataract & Laser Institute is seeking a detail-oriented and dependable Precertification Specialist to join our team. In this role, you will help ensure patients receive timely access to surgical care by coordinating insurance eligibility, benefits, precertifications, and prior authorizations.
You will serve as an important connection between patients, providers, surgical teams, clinic staff, and insurance companies-helping create a seamless, compassionate, and efficient experience from scheduling through surgery.
What You'll Do
  • Obtain insurance precertifications and prior authorizations for surgical procedures.
  • Verify patients' insurance eligibility, benefits, coverage requirements, and financial responsibility.
  • Review scheduled procedures and supporting clinical documentation to ensure payer requirements are met.
  • Submit accurate authorization requests with the appropriate medical records and supporting documentation.
  • Communicate with insurance companies regarding authorization status, additional documentation requests, denials, and appeals.
  • Coordinate with surgeons, surgical schedulers, clinic teams, billing staff, and patients to resolve authorization or coverage concerns.
  • Maintain accurate and timely documentation within the electronic medical record and other applicable systems.
  • Monitor pending authorizations, expiration dates, and renewal requirements to prevent delays or cancellations.
  • Assist with resolving denied or delayed authorization requests.
  • Stay informed of payer-specific guidelines, authorization requirements, and regulatory changes.
  • Protect patient confidentiality and maintain compliance with HIPAA and organizational policies.
  • Provide professional, compassionate service when communicating with patients and internal teams.
What We're Looking For
  • High school diploma or equivalent required; associate degree in healthcare administration or a related field preferred.
  • Previous experience with insurance verification, prior authorizations, precertification, medical billing, or healthcare administration preferred.
  • Knowledge of medical terminology, insurance plans, CPT codes, and ICD-10 codes preferred.
  • Strong attention to detail and a commitment to maintaining accurate documentation.
  • Excellent organizational, time-management, and problem-solving skills.
  • Ability to prioritize multiple requests and meet deadlines in a fast-paced environment.
  • Strong written and verbal communication skills.
  • Comfortable communicating with patients, insurance representatives, providers, and clinical teams.
  • Proficiency with electronic medical records, Microsoft Office, and other healthcare-related systems.
  • Ability to work independently while contributing to a collaborative team environment.
Why Join Cataract & Laser Institute?
  • Competitive compensation
  • Medical, dental, and vision insurance
  • 401(k) with company match
  • Paid time off and paid holidays
  • Company-paid life insurance
  • Supportive and team-focused work environment
  • Opportunities to develop your knowledge and grow within the organization
    PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):
    • Physical Activity: Standing for sustained periods of time, Stooping, Grasping, Lifting, Talking, Hearing.
    • Physical requirements: Light work. Must be able to lift up to 15 lbs on a regular basis from floor to waist, 5 lbs from waist to shoulder, and 5 lbs from shoulder to overhead.
    • The worker is required to have close visual acuity to perform each activity.
    • The worker may be exposed to the following hazards:
    • Blood borne pathogens
    • Communicable diseases
    • Chemicals
    • Steam
    • Pressurized cylinders
    • Sharp objects
    • Moving parts of equipment
Make an Impact
As a Surgical Precertification Specialist, your accuracy, persistence, and communication will directly support our patients and surgical teams. By helping resolve insurance requirements before the day of surgery, you will reduce delays, improve the patient experience, and help ensure each patient receives the care they need.
If you are organized, compassionate, and ready to make a meaningful difference in the surgical care process, we encourage you to apply today!
Cataract & Laser Institute is an Equal Opportunity Employer.
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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