Pre-Certification Coordinator I — Payer & Scheduling

Washington University; Missouri; On-site; USD 29,000 - 44,000; Full time

Job summary

Washington University in St. Louis in Saint Louis, MO, is seeking a pre-certification specialist to help maximize reimbursement by coordinating with third-party payers and supporting clinicians.

The role handles pre-determination, benefit verification, and documentation for insurance providers, while maintaining schedules and communicating with physicians and staff. A high school diploma is required; CPC/RHIT credentials are preferred.

Qualifications

• Education: High school diploma or equivalent.
• Certifications/Professional Licenses: No specific certification/professional license required.
• Work Experience: Medical Office Setting (2 Years)
• Skills: Not Applicable
• Driver's License: A driver's license is not required for this position.

Responsibilities

• 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 their schedules.
• Maintains written log of all pre-certifications in process; notifies hospital utilization/billing department of pre‑certification.
• Documents when pre‑certification is received from insurance companies.
• Performs other duties as assigned.

Education

High school diploma or equivalent

Associate degree

Job description

Washington University in St. Louis in Saint Louis, MO, is seeking a pre-certification specialist to help maximize reimbursement by coordinating with third-party payers and supporting clinicians.

The role handles pre-determination, benefit verification, and documentation for insurance providers, while maintaining schedules and communicating with physicians and staff. A high school diploma is required; CPC/RHIT credentials are preferred.