Pre Cert Rep

Huntsville Hospital; Madison (AL); On-site; USD 36,000 - 48,000; Full time

Job summary

Huntsville Hospital is seeking a Pre-Certification Representative to obtain insurance pre-authorizations for services requiring referral or prior authorization. The role emphasizes HIPAA-compliant handling of protected health information and accuracy in processing approvals.

Candidates should have at least a high school diploma, 3 years in medical insurance or billing, and proficiency with Word, Excel, and EMR/Billing systems. Strong communication and teamwork are essential.

Qualifications

• Education: High School diploma or GED required; post-secondary education preferred.
• Experience: 3 years of medical insurance or medical billing experience required; 1 year of pre-certifications preferred.
• Proficiency with Word, Excel and EMR/Billing systems; understanding of medical terminology and general medical billing processes; basic medical coding.

Skills

Word

Excel

EMR/Billing

Medical terminology

Medical coding

Insurance requirements

High volume processing

Verbal communication

Written communication

Teamwork

Dependability

Initiative

Education

High School diploma or GED

Post-secondary education

Tools

EMR/Billing systems

Job description

The Pre-Certification Representative is responsible for obtaining approval from insurance companies for services that require referral, pre-certification or prior authorization. All job functions are performed in a manner that promotes the highest level of compliance with various legal, regulatory and accreditation requirements while maintaining all protected health information in manner that complies with HIPAA requirements.

Qualifications

Education: High School diploma or GED required; post-secondary education preferred.

Experience: Three years of medical insurance or medical billing experience required; One year of prior experience with pre-certifications preferred

Additional Skills/Abilities: Proficiency working with computer applications, including Word, Excel and EMR/Billing systems required. Understanding of medical terminology and general medical billing processes, including accounts receivable required. Basic understanding of medical coding required. Broad understanding of insurance company requirements related to services that require referral, pre-certification or prior authorization required. Ability to process a high volume of work in an accurate manner required. Ability to communicate effectively both verbally and in writing required. Effective work habits including, regular and prompt attendance, dependability, teamwork and initiative required.

About Us

Build your career with us

At Huntsville Hospital, Huntsville Hospital for Women & Children and Madison Hospital, you’ll find meaningful work, supportive teams and opportunities to grow within a locally governed, nonprofit health system committed to the communities we serve. Our workplace culture has earned national recognition, including Newsweek’s America’s Greatest Workplaces in Health Care 2026 and Forbes’ America’s Best-in-State Employers 2025.

Huntsville Hospital is the region’s primary referral center for advanced and specialty care, home to a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU and North Alabama’s Level I Trauma Center. Together, our three Madison County hospitals have 971 licensed beds and offer career opportunities across a wide range of specialties and care settings.

Employees have access to continuing education, Shared Governance, Clinical Ladder, Nurse Residency, tuition assistance, child care, wellness resources, an on-site employee pharmacy and health clinic, and more. We are proud to be an equal opportunity employer and a partner in the U.S. Army Partnership for Your Success (PaYS) Program.

Huntsville Hospital Benefits

We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!

Learn More About Huntsville Hospital Health System

• Careers: https://careers.hhsys.org/careers-home
• Benefits: https://careers.hhsys.org/why-hh-health/benefits/benefits-at-huntsville-hospital/
• Education & Professional Development: https://www.huntsvillehospital.org/education
• Life In Huntsville: https://www.huntsvillehospital.org/about-huntsville-al