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Precertification Jobs (NOW HIRING)

Saint Luke's Hospital of Kansas City

The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for procedures, testing and surgeries performed in the ...

Saint Luke's Hospital System

The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for procedures, testing and surgeries performed in the ...

Saint Luke's Hospital System

The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for procedures, testing and surgeries performed in the ...

Saint Luke's Hospital of Kansas City

The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for procedures, testing and surgeries performed in the ...

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Precertification information

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$5

$18

$30

How much do precertification jobs pay per hour?

As of Jun 7, 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 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.

More about Precertification jobs
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 May 2026, with employment types broken down into 3% As Needed, 84% Full Time, and 13% Part Time. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $39,368 per year, or $18.9 per hour.

Medical Assistant/Precertification-Preauthorization Specialist

East Tennessee Gastroenterology PLL

Cleveland, TN

$18/hr

Full-time

Medical, Retirement, PTO

Posted 2 days ago

Job description

Benefits:
  • 401(k)
  • 401(k) matching
  • Free food & snacks
  • Paid time off

Benefits/Perks
  • Competitive Compensation
  • Great Work Environment

Job Summary
We are seeking a Medical Assistant/Precertification-Preauthorization Specialist to join our team! As a Medical Assistant, you will be preparing for each patient visit by preparing charts and pulling notes before their arrival, providing routine support alongside nurses and medical staff, and assisting with keeping track of tests and lab reporting to ensure everything arrives on time and the patient is kept informed about their condition and care. The ideal candidate will have Precertification/Preauthorization experience with insurance companies for planned procedures. Coding/Billing experience is preferred. A strong work ethic, team player attitude, strong customer service skills, an interest in learning more about a working medical environment, and previous office experience.
Responsibilities
  • Prepare for the patient visit, including pulling charts and notes, as well as setting up medical equipment
  • Clean instruments and equipment after use
  • Answer phones and field questions about medical issues, identifying visit needs
  • Assist nurses and doctors with basic medical care and procedures
  • Track lab results, call in prescriptions, and handle basic medical office duties
Qualifications
  • BLS Certification or Certified Medical Assistant desired
  • Excellent customer service skills
  • Strong attention to detail
  • Precertification/Preauthorization Experience
  • Billing/Coding experience preferred