Pre-Certification Specialist
Houston, TX
Category: Healthcare
Reference ID: 10064404
Shortcut: http://addisongroup.gosnaphop.com/HKXR0n
Job Title: Pre-Certification Specialist (Hybrid)
Location: Houston, TX, (Galleria Area)
Industry: Healthcare
Pay: $21–$24/Hourly
Job Type: Contract-to-Hire
Benefits: This position is eligible for medical, dental, vision, and 401(k)
About Our Client:
Addison Group is partnering with a healthcare organization seeking an experienced Precertification Specialist to support high-volume authorization workflows. This role is ideal for someone with strong procedural authorization experience who thrives in a fast-paced, detail-driven environment and is comfortable collaborating with payors, providers, and internal teams.
Job Description:
The Precertification Specialist will be responsible for obtaining and managing prior authorizations for procedures, diagnostic testing, and surgical cases. This role requires strong clinical review skills, excellent communication, and the ability to manage a high daily volume of requests while maintaining accuracy and compliance.
Key Responsibilities:
- Obtain and document prior authorizations for procedures, diagnostics, office visits, and surgical cases.
- Act as a liaison between payors, physician offices, and patients to coordinate authorization requirements.
- Verify insurance eligibility and benefits, ensuring accurate documentation in EMR systems.
- Review clinical documentation and diagnosis codes to support authorization submissions.
- Communicate directly with payors to address authorization questions or requests for additional information.
- Manage a high-volume workload (40–45 authorization requests per day once fully trained).
- Pull data from EMR systems and track activity using Excel spreadsheets.
- Identify and correct account discrepancies and maintain clear communication with stakeholders.
- Meet established productivity benchmarks (30+ authorizations per day after ramp-up).
- Assist with additional precertification and administrative tasks as needed.
Qualifications:
- 3+ years of prior authorization/precertification experience required, with a strong focus on procedures.
- Facility experience preferred; professional billing background also considered.
- Strong understanding of clinical documentation, diagnosis codes, and EOB review.
- Experience working within EMR systems and multiple payer platforms.
- Proficient in Microsoft Excel, including data tracking and reporting.
- Ability to multitask, work independently, and meet deadlines in a fast-paced environment.
- Strong verbal and written communication skills.
Additional Details:
- Schedule: Flexible hours between 6:00am–6:00pm
- Work Model:
- Training period: Onsite
- Post-training: Hybrid (3 days onsite / 2 days remote)
- Start Date: ASAP
- Environment: Fast-paced, collaborative business office
Perks:
- Hybrid schedule with flexibility after training
- Opportunity to gain specialized authorization experience
- Supportive leadership and team-oriented environment
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
IND 004-007
-
Insurance Verification Specialist
Phoenix, AZ
Job Title: Insurance Verification Specialist Location (city, state): Phoenix, AZ (Biltmore area) Industry: Healthcare / Insurance Pay: $20-21/hour About Our Client: Addison Group is actively hiring an Insurance Verification Specialist for one of our he...
Recommended
-
Payroll Specialist
Woodland Hills, CA
Job Title: Payroll Specialist Location: Sherman Oaks, CA (Hybrid) Pay Rate: $28- $30/hour (DOE) Job Type: Full-Time | Hybrid (3 days in office, 2 days remote) About the Role: We are seeking a detail-oriented and experienced Payroll Specialist to join o...
Recommended
-
Full-Cycle Billing Specialist
Houston, TX
Job Title: Full-Cycle Billing Specialist Location: Houston, TX (Greater Uptown Area) Industry: Healthcare Pay: $20 - $25 / hour Assignment Type: Direct Hire Benefits: This position is eligible for medical, dental, vision, life insurance and 401k. About...
Recommended
-
Medical Collector (Hybrid)
Skokie, IL
Job Title: Senior RCM Collector Location: Skokie, IL Industry: Healthcare / Revenue Cycle Management Compensation: $26 – $30 / Hour (Contract-to-Hire) Benefits: This position is eligible for medical, dental, vision, and 401(k). Work Schedule: Monday–Fr...
Recommended
-
Credentialing Specialist
Houston, TX
Job Title: Credentialing Specialist - Provider Enrollment Location: Houston, TX - Central Houston (Fully Onsite) Industry: Healthcare / Provider Credentialing & Enrollment Pay: $29 - $32 per hour Assignment Type: Contract Benefits: This position is eli...
Recommended
-
Physician Billing Specialist
Humble, TX
Job Title: Physician Billing Specialist Location: North Houston, 77338 Industry: Healthcare / Revenue Cycle Management Pay: $20 – $23 / hour Assignment: CTH Benefits: This position is eligible for medical, dental, vision, life insurance and 401k. About...
Recommended
-
Medical AR Specialist
Chicago Metro Area, Illinois
Job Title: Insurance Follow-Up Representative Location: Oak Brook, IL Industry: Healthcare – Revenue Cycle / Physician Billing Work Schedule: Monday–Friday, 40 hours/week; flexible start time between 7:30am–9:00am Compensation: $23 – $27 / hour (depend...
Recommended
-
Medical Biller
Beverly, MA
Medical Biller – Onsite Location: Beverly, MA Schedule: Monday–Friday, 8:00 AM – 4:30 PM Pay: $25.00 - $30.00 / Hourly Start Date: ASAP Department: Revenue Cycle Benefits: This position is eligible for medical, dental, vision, PTO. Job Overview We are ...
Recommended
-
Accounts Payable Specialist
Fort Worth, TX
Job Title: Accounts Payable Specialist Location: Fort Worth, TX Compensation: $25 - $33 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k). We are seeking a detail-oriented and dependable Accounts Payable Specialist that...
Recommended
-
Medical Billing Specialist
Bethesda, MD
Job Title: Medical Billing Specialist (Full Cycle) Location (city, state): Chevy Chase, MD Compensation: $19.00 – $23 per hour (based on experience) Benefits: This position is eligible for medical, dental, vision, 401(k), life insurance, disability cov...
Recommended
-
AP Junior Accountant
Carson, CA
Job Title: Accounts Payable Accountant / Accounts Payable Specialist Industry: Accounting / Finance Location (City, State): Southern California Compensation: $24 -$25 / Hr Benefits: This position is eligible for medical, dental, vision, and 401(k). Wor...
Recommended
-
Medical Assistant
Frisco, TX
Medical Assistant Pay: $20.00 – $22.00 / Per hour (based on experience) Job Type: Contract-to-Hire Location: Frisco, TX (On-site) Benefits: This position is eligible for medical, dental, vision, and 401(k). About the Role Addison Group is hiring Medica...
Recommended
-
Recruiter
Chicago
Job Title: Associate Recruiter Location: Chicago, IL Industry: Professional Services Compensation: $24–$30/hour Work Schedule: Hybrid – 3 days in office / 2 days remote Benefits: This position is eligible for medical, dental, vision, and 401(k). About ...
Recommended
-
Marketing Specialist
Washington, DC
Job Title: Marketing Specialist Industry: Association / Marketing & Communications / Digital Content Location: Washington, DC (Hybrid - 4 days on site) Assignment Type: Contract (2–3 months) Pay: $27-32/hour (commensurate with experience) Work Schedule...
Recommended
-
Payment Posting Specialist
Philadelphia, PA
Job Title: Payment Posting Specialist Location (city, state): Philadelphia, PA Industry: Healthcare / Revenue Cycle Pay: $22.00 – $24.00 / Hour Type: Contract Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client...
Recommended
-
Medical Billing Specialist
Edina, MN
Job Title: Medical Billing Specialist Industry: Healthcare Location (city, state): Minneapolis, MN Work Schedule: Monday - Friday 8-5PM Compensation: $28 - $30 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k). About Ou...
Recommended
-
Medical Operations Manager
Toledo, OH
Job Title: Operations Manager Location (city, state): Toledo, OH 43614 Job Type: Full-Time | Exempt Industry: Healthcare / Emergency Medical Services Pay: $60,000 – $70,000 annually Benefits: This position is eligible for medical, dental, vision, 401(k...
Recommended
-
Recruiting Coordinator
Westminster, CO
Job Title: Recruiting Coordinator (Contract) Location: Westminster, CO (Hybrid) Industry: Construction Pay: $24-$26/hour Benefits: Eligible for medical, dental, vision, and 401(k) benefits About Our Client: Addison Group is hiring a Recruiting Coordina...
Recommended
-
CDI Specialist (Concurrent Reviews)
Anywhere
Job Title: CDI Specialist (Concurrent Reviews) Location: Remote — Nationwide (Contract-Only) If Contract-to-Hire: Must reside in OK, TX, LA, TN, or GA Industry: Healthcare / Clinical Documentation Integrity (CDI) Pay: $40 - $50 / Hour Type of Employmen...
Recommended
-
Director of Accounting
Columbia, MD
Position Title: Corporate Accounting Director Location: Columbia, MD (Hybrid – 3 days in office) Assignment Type: Permanent Hire Compensation: $160,000 - $170,000 annually + 20% bonus Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM Benefits: This pos...
Recommended
-
AR Manager
Reston, VA
Position Title: Accounts Receivable Manager Location: Reston, VA (Hybrid – 2–3 days in office) Assignment Type: Permanent Hire Compensation: $90,000 – $110,000 annually Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM (flexible staggered in-office sch...
Recommended
-
Medical Records Scanner
Philadelphia, PA
Job Title: Medical Records Scanner Industry: Healthcare / Medical Records Location (City, State): Philadelphia, PA Compensation: $20 – $23 per hour Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits. Work Schedule: Ful...
Recommended
-
Legal Assistant
Dallas Metro Area, Texas
Job Title: Legal Assistant Location: Dallas, TX Work Schedule: Monday – Friday, 8:00am – 5:00pm Type of Employment: Contract-to-Hire Compensation: $28/hr - $34/hr Industry: Legal Services Benefits: Dental, Vision, and Health Insurance after 60 days on ...
Recommended
-
Bilingual Patient Service Representative
Wilmington, DE
Job Title: Bilingual Patient Service Representative Location: Wilmington, DE Industry: Community Health / Healthcare Administration Pay: $15 – $17 / Hour (based on experience) Benefits: The position is eligible for medical, dental, vision, and 401(k). ...
Recommended
-
Payment Poster
Columbia, SC
Job Title: Payment Poster Location: Columbia, SC Compensation: $17 – $20 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits while on contract, with a strong benefits package available upon conversion. About the ...
Recommended
-
Bilingual Call Center Representative
Reston, VA
Job Title: Dispute Resolution Specialist I (Bilingual English/Spanish) Industry: Call Center/Non-profit Location (city, state): McLean, VA (Hybrid role after training — no exact address listed) Assignment Type: Contract-to-Hire (long-term contract with...
Recommended
-
AR Specialist
Minneapolis, MN
Job Title: AR Specialist Location: St. Paul, MN (Hybrid located in Minnesota, only local candidates will be eligible) Pay Rate: $26 - $31.25 / Hour dependent on applicable experience Benefits: This position is eligible for medical, dental, vision, and ...
Recommended
-
Senior HRBP Consultant
Washington, DC
Job Title: Senior HR Business Partner (HR Consultant) Industry: Nonprofit / Healthcare Research Location (City, State): Washington, DC (Hybrid) Assignment Type: Contract (project-based, no defined end date) Pay: $45–$55 per hour (Pay based on experienc...
Recommended
-
Insurance Collector
Boardman, OH
Job Title: Insurance Collector Location: Boardman, OH (Onsite) Industry: Healthcare / Medical Services Pay: $16 – $19 / Hour Benefits: This position is eligible for Medical, Dental, Vision, and 401K benefits About Our Client: Addison Group is partnerin...
Recommended
-
Administrative Assistant
Texas
Job Title: Administrative Assistant Location: Lewisville, TX Work Schedule: Monday – Friday, 9:00 AM – 6:00 PM Type of Employment: 6-Month Contract Compensation: $22/hour Industry: Administrative Support Benefits: This position may be eligible for dent...
Recommended