Pre-Certification Coordinator I

WashU IT

. Initiate and facilitate the pre-determination process .

Posted 10/22/2026full-timeRemote • United StatesJuniorMid-Level💰 $21 - $32 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pre-certification processes, benefit verification, and medical insurance coding while maintaining effective communication with healthcare providers and insurance companies. Proficient in organizing and documenting pre-certification activities to ensure compliance and efficiency.

Highest-signal resume keywords

Pre-Certification ProcessMedical Insurance CodingBenefit VerificationCommunication SkillsOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pre-CertificationMedical Insurance CodingBenefit VerificationDocumentation ManagementSurgery/Procedure Scheduling

Soft Skills

Interpersonal CommunicationCustomer Service

Certifications & Qualifications

Certified Professional Coder (CPC)Registered Health Information Technician (RHIT)

Industry Keywords

InsuranceThird Party PayersManaged CareMedical Office Setting

About the role

Key responsibilities & impact

Initiate and facilitate the pre-determination process
Contact insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures
Notify the financial counselor for pre-payment of un-coded services
Supply required documentation to insurance companies during pre-certification
Maintain the daily surgery/procedure schedule for department faculty
Maintain open communication with physicians and their assistants regarding schedules
Maintain a written log of pre-certifications in process
Notify the hospital utilization/billing department of pre-certification
Document receipt of pre-certification from insurance companies

Requirements

What you’ll need

High school diploma or equivalent high school certification or combination of education and/or experience
2 years of experience in a medical office setting
No specific certification/professional license is required
Associate degree preferred
Certified Professional Coder (CPC) and Registered Health Information Technician (RHIT) preferred
Communication, External Customers, Insurance, Internal Customers, Interpersonal Communication, Managed Care, Medical Insurance Coding, Organizing, Third Party Payers
All external candidates receiving an offer must complete pre-employment screening, including a criminal background check and applicable other checks

Benefits

Comp & perks

Up to 22 days of vacation
10 recognized holidays
Sick time
Competitive health insurance packages with priority appointments and lower copays/coinsurance
Free Metro transit U-Pass for eligible employees
Defined contribution 403(b) Retirement Savings Plan, with university contributions starting at 7%
Wellness challenges
Annual health screenings
Mental health resources
Mindfulness programs and courses
Employee assistance program (EAP)
Financial resources
Access to dietitians
4 weeks of caregiver leave to bond with your new child
Family care resources for continued childcare needs
Adult care resources
Tuition coverage for the employee and family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years