Pre-Certification Coordinator II – Department of Medicine

WashU IT

Advanced level specialization in complex pre-certifications for the Department of Medicine. Involves analysis of treatment plans, authorization processes, and communication with clinical staff.

Posted 6/30/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $23 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pre-certification processes, including authorization and insurance eligibility verification, while effectively collaborating with clinical staff and providers. Proficient in utilizing Epic EHR and insurance claim processing software to ensure accurate and timely completion of clinical documentation.

Highest-signal resume keywords

Pre-Certification ExperienceEpic EHR ProficiencyInsurance Claim Processing SoftwareInsurance Terminology UnderstandingCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pre-CertificationAuthorization ProcessInsurance Eligibility VerificationClinical Documentation AnalysisMedical BillingHealth Information Management

Soft Skills

Detail-OrientedInterpersonal Skills

Tools & Technologies

Epic EHRInsurance Claim Processing Software

Industry Keywords

Clinical OfficeHealth Information ManagementInsurance Terminology

About the role

Key responsibilities & impact

Completes pre-certifications for complex and specialized services as indicated on therapy and treatment plans
Reads and analyzes therapy and treatment plans, drug protocols, and clinical documentation
Completes authorization process with the payer and in EPIC
Completes rechecks on existing pre-certifications by verifying insurance eligibility
Works with clinical staff and providers on add-ons, denials and peer to peers through to resolution
Performs other duties as assigned

Requirements

What you’ll need

High school diploma or equivalent high school certification or combination of education and/or experience
3 years experience in Clinical Office, Medical Billing, Health Information Management (Him), or Pre-Certification
No specific certification/professional license required
Communication skills
Detail-oriented
Proficient in Epic EHR
Experience in Insurance Claim Processing Software
Understanding of Insurance Terminology
Ability to interact with all levels of management

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
Tuition coverage for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.