Supervisor Pre-Certification (Remote) - Otolaryngology

Washington University in St. Louis

1d • Remote

About The Position

Position provides supervision and oversight of the day to day operations of the predetermination/precertification process, and counsels patients and/or families on options for financial assistance.

Requirements

• A diploma, certification or degree is not required.
• No specific certification/professional license is required for this position.
• No specific work experience is required for this position.

Nice To Haves

• Precertification and/or medical management experience is preferred.
• Associate degree

Responsibilities

• Develops, implements and ensures adherence to policy and procedures to optimize the pre certification process and minimize dollars lost to lack of pre certification.
• Initiates and facilities predetermination process.
• Directly interacts with patients regarding non-coverage and develops a self pay financial plan.
• Works with faculty and clinical staff regarding self pay package pricing and financial coordination plans for patients.
• Works with involved departments to ensure agreement with developed financial plans.
• Monitors volumes through reporting to ensure appropriate staffing levels.
• Adjusts workload distributions as needed.
• Interacts with representatives of major third-party carriers to resolve prior approval/pre-certification problems and discuss changes in third-party program requirements.
• Participates in selection process of new employees, training, supervising and evaluating employees; informs employees of changes in the department.
• Assists with coverage in staff areas during illness/vacations.
• Provides operational oversight of operating room scheduling activities performed by pre-certification staff to ensure cases are appropriately scheduled, authorized, and released for surgery.
• Demonstrates working knowledge of Epic surgical scheduling workflows, including Snapboard, to monitor case status, identify scheduling or authorization issues, and ensure timely resolution.
• Coordinates with surgeons, clinic staff, and perioperative services to align pre-certification status with operating room scheduling timelines.
• Ensures pre-certification and operating room scheduling workflows are followed consistently by staff to prevent surgical delays, cancellations, or financial risk.
• Assists in troubleshooting scheduling-related issues that impact authorization, financial clearance, or surgical readiness.

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Take advantage of our free Metro transit U-Pass for eligible employees.
• WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and 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, and more!
• We offer 4 weeks of caregiver leave to bond with your new child.
• Family care resources are also available for your continued childcare needs.
• Need adult care? We’ve got you covered.
• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees