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Precertification Jobs (NOW HIRING)

Radiology Partners

Precertification Specialist I

$18 - $21/hr

General information Press space or enter keys to toggle section visibility Job Title Precertification Specialist I Functional Area Front Office - Patient Services City Nashville Work Location Type ...

Ascension

Precertification Coordinator

Tulsa, OK · On-site

Prior precertification experience preferred Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded ...

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Precertification information

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$5

$18

$30

How much do precertification jobs pay per hour?

As of Jul 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 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 July 2026, with employment types broken down into 4% As Needed, 84% Full Time, and 12% 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.

Precertification Specialist

St. Luke's Hospital - MO

Chesterfield, MO • Hybrid

Full-time

Retirement, PTO

Posted 7 days ago

Job description

Job Posting

We are dedicated to providing exceptional care to every patient, every time. 

St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades.  

Position Summary: 

Ensures the effective and efficient use of services, monitors appropriateness and medical necessity and provides necessary information for authorization of diagnostic testing with multiply insurance providers. Verifies insurance eligibility and benefits and obtains deductible and coinsurance amounts, obtaining precertification/authorization for outpatient diagnostic testing and other services as needed. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke's mission and values.  The position offers a hybrid schedule.

Education, Experience, & Licensing Requirements:   

Education: High School Diploma or GED required. 

Benefits for a Better You:  

  • Day one benefits package 
  • Pension Plan & 401K 
  • Competitive compensation 
  • FSA & HSA options 
  • PTO programs available 
  • Education Assistance 

Why You Belong Here:  

You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another. 

Employment Type: FULL_TIME

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