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Lead Pre-Certification Coordinator (Remote) - Department of Medicine

Job Overview

Location

Remote

Job Type

Full-time

Category

Operations

Date Posted

July 1, 2026

Full Job Description

đź“‹ Description

  • • Lead the pre-certification team to ensure medical, drug, and diagnostic testing authorizations are obtained efficiently and reimbursement is maximized through interaction with third-party payers.
  • • Manage daily workload, prioritize assignments, answer pre-certification phone lines, assist with billing and insurance inquiries, and act as a liaison between department facilities and physician offices.
  • • Part of the Department of Medicine at Washington University in St. Louis, a leading academic medical center committed to excellence in patient care, research, and education.
  • • Develop leadership and expertise in healthcare authorization processes, staff training, denial management, and process improvement while contributing to operational efficiency and financial integrity.

🎯 Requirements

  • • High school diploma or equivalent
  • • 3 years of medical billing/coding experience
  • • Previous pre-certification experience
  • • Thorough understanding of Washington University FSC database and insurance terminology
  • • Experience interacting with managed care plans, insurance companies, and third-party payers
  • • Ability to work with internal and external customers including physicians, nurses, patients, and families

🏖️ Benefits

  • • 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 (403(b)) Retirement Savings Plan with university contributions starting at 7%
  • • 4 weeks of caregiver leave to bond with a new child
  • • Tuition coverage for employees and family (up to 100% at WashU, 40% elsewhere after seven years)

Skills & Technologies

Senior
Remote

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Washington University in St. Louis logo
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About Washington University in St. Louis

Washington University in St. Louis is a private research university founded in 1853. It offers undergraduate, graduate, and professional programs across seven schools, including Arts & Sciences, Engineering, Medicine, Law, and Business. Located in St. Louis, Missouri, the university is classified as an R1 doctoral university with very high research activity. It operates a 169-acre Danforth Campus and a 164-acre Medical Campus, along with the Tyson Research Center. The university is affiliated with Barnes-Jewish Hospital and conducts extensive interdisciplinary research in biomedicine, engineering, social policy, and the arts.

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