Pre-Certification Coordinator ; Remote - Department of Medicine - Business Office

Position Summary

Performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished efficiently and reimbursement is maximized through interaction with third‑party payers.

• Initiates and facilitates pre‑determination process.
• Contacts appropriate insurance companies for benefit verification and pre‑certification of surgical and nonsurgical procedures; notifies financial counselor for pre‑payment of un‑coded services.
• Supplies all documentation required during pre‑certification process to insurance companies.
• Maintains daily surgery/procedure schedule for department faculty; maintains open communication with physicians and their assistants regarding schedules.
• Maintains written log of all pre‑certifications in process; notifies hospital utilization/billing department of pre‑certification.
• Documents receipt of pre‑certification from insurance companies.
• Performs other duties as assigned.

Normal patient care setting. Typically sitting at a desk or table, repetitive wrist, hand or finger movement. Office equipment is used.

• High school diploma or equivalent; or combination of education and no experience.
• Medical Office Setting experience: 2 years.
• No specific certification or professional license required.

• Associate degree.
• Certified Professional Coder (CPC) – American Academy of Professional Coders.
• Registered Health Information Technician (RHIT) – American Health Information Management Association.
• Strong communication and interpersonal skills; experience with managed care, medical insurance coding, and third‑party payers.

Grade C08‑H. Salary Range: $20.57 – $30.84 per hour.

Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages. Free metro transit U‑Pass for eligible employees. 403(b) retirement savings plan with 7% university match. Wellness challenges, health screenings, mental health resources, and employee assistance program.

Washington University in St. Louis is committed to equal employment opportunity and prohibits discrimination on the basis of race, ethnicity, color, national origin, citizenship, age, religion, sex, sexual orientation, gender identity, disability, veteran status, or genetic information.