Supervisor Pre-Certification; Remote - Otolaryngology

Supervisor Pre-Certification (Remote) - Otolaryngology

Join Washington University in St. Louis for a remote supervisory role focusing on the pre-certification and predetermination process within OTOLARYNXLOGY.

Provide supervision and oversight of daily operations for pre-certification and predetermination processes. Counsel patients and families on financial assistance options.

• Develop, implement and ensure adherence to policy and procedures to optimize pre-certification and minimize financial loss.
• Initiate and facilitate predetermination processes.
• Interact directly with patients regarding non-coverage and develop self-pay financial plans.
• Collaborate with faculty and clinical staff on self-pay pricing and financial coordination for patients.
• Ensure agreement with developed financial plans across involved departments.
• Monitor volumes through reporting to maintain appropriate staffing levels and adjust workloads.
• Resolve prior approval/pre-certification issues with major third-party carriers and discuss changes in program requirements.
• Participate in selection of new employees, training, supervising and evaluating staff; communicate changes in the department.
• Assist with coverage during staff illness or vacation.
• Provide operational oversight of operating room scheduling activities performed by pre-certification staff.
• Demonstrate knowledge of Epic surgical scheduling workflows to monitor case status and resolve scheduling or authorization issues.
• Coordinate with surgeons, clinic staff and perioperative services to align pre-certification status with OR scheduling timelines.
• Ensure consistent adherence to pre-certification and OR scheduling workflows to prevent delays, cancellations or financial risk.
• Assist in troubleshooting scheduling-related issues that impact authorization, financial clearance or surgical readiness.

• No specific academic degree, certification, or professional license required.
• Preferred:
  Precertification and/or medical management experience.
• Preferred:
  Associate degree in a related field.
• Preferred supervisory management skills.

Normal office environment, predominantly seated at a desk or table. Office equipment provided.

$56,200.00 – $87,100.00 annually (Grade C11).

Personal:

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Eligibility for free Metro U‑Pass transit benefits.
• Defined contribution (403(b)) retirement savings plan with 7% university contribution.

Wellness:

• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses.
• Employee Assistance Program (EAP) and financial wellness resources.
• Access to dietitians and other wellness services.

Family:

• 4 weeks of caregiver leave.
• WashU tuition coverage for you and your family (up to 100% at WashU, 40% elsewhere after 7 years).

Washington University in St. Louis is committed to equal employment opportunity and encourages applications from all qualified individuals. All applications are considered without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, veteran status, or genetic information.