Pre-Certification Coordinator ; Remote - Department of Medicine

Position Summary

Perform varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished efficiently and reimbursement is maximized through required interaction with third‑party payers. The role includes pre‑determination, pre‑certification, scheduling, and coordination with physicians and payers.

• Initiate and facilitate pre‑determination process.
• Contact appropriate insurance companies for benefit verification and pre‑certification of surgical and nonsurgical procedures.
• Notify financial counselor for pre‑payment of uncoded services.
• Supply all documentation required during pre‑certification to insurance companies.
• Maintain daily surgery/procedure schedule for department faculty and coordinate with physicians and assistants.
• Maintain written log of all pre‑certifications in process and notify hospital utilization/billing department.
• Document receipt of pre‑certification from insurance companies.
• Perform other duties as assigned.

Normal patient care setting. Typically seated at a desk. Repetitive wrist, hand, or finger movements. Use of office equipment.

• Education:
  
  High school diploma or equivalent.
• Work Experience:
  
  Medical office setting, 2 years.
• Skills:
  
  Not applicable.
• Driver’s License:
  Not required.

• Education:
  
  Associate degree.
• Certifications:
  
  Certified Professional Coder (CPC) – AAPC, Registered Health Information Technician (RHIT) – AHIMA.
• Experience:
  
  No additional work experience required.
• Skills:
  
  Communication, customer service, insurance coordination, managed care.

Grade C08‑H, $21.33 – $31.98 per hour. Individual rates within the range are determined by qualifications, performance, equity, market rates, and department budget.

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Free Metro transit U‑Pass for eligible employees.
• Defined contribution retirement savings plan (403(b)) with starting contributions of 7%.
• Wellness challenges, annual health screenings, mental health resources, mindfulness programs, employee assistance program, financial resources, access to dietitians.
• 4 weeks of caregiver leave to bond with a new child; additional family care resources available.
• Tuition coverage for employees and families: 100% at WashU for undergraduate‑level, 40% elsewhere after seven years.

Washington University in St. Louis is committed to equal employment opportunity for all employees without regard to race, ethnicity, color, national origin, citizenship, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status or genetic information.