Pre-Certification Coordinator I (Remote) - Department of Medicine
$21.33 - $31.98 per hourWashington University in St. Louis
- Remote job
Position Summary Assists in ensuring medical/surgical and diagnostic/ancillary services are accomplished efficiently and reimbursement is maximized through required interaction with third‑party payers. Scheduled Hours 40 hours per week Primary Duties & Responsibilities Initiates and facilitates pre‑determination process. Contacts insurance companies for benefit verification and pre‑certification of surgical and nonsurgical procedures; notifies financial counselor for pre‑payment of uncoded 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 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. Working Conditions Normal working environment in patient care setting. Typically sitting at desk or table; repetitive wrist, hand or finger movement. Uses office equipment. Education & Qualifications Required: High school diploma or equivalent; 2 years medical office experience. Preferred Qualifications Associate degree. Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA). Skills Communication, external customers, insurance, internal customers, interpersonal communication, managed care, medical insurance coding, organizing, third‑party payers. License A driver's license not required. Salary $21.33 – $31.98 per hour. Grade C08‑H. Benefits Up to 22 days vacation, 10 holidays, sick time; competitive health insurance; free Metro transit U‑Pass; defined contribution (403(b)) retirement savings plan starting at 7% employee match. EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. #J-18808-Ljbffr Washington University in St. Louis
- ...interaction with third‑party payers. The role includes pre‑determination, pre‑certification, scheduling, and coordination with physicians and payers. Primary Duties &... .... Maintain daily surgery/procedure schedule for department faculty and coordinate with physicians and...Remote jobHourly payWork experience placementWork at office
$23.63 - $35.49 per hour
Position Summary Advanced level specialization in complex pre‑certifications as indicated on therapy and treatment plans to prevent controllable losses/write offs for the Department. May perform re‑checks of insurance eligibility and verify authorization information for...Remote jobHourly payWork experience placementWork at office$21.33 - $31.98 per hour
Position Summary WashU Department of Pediatric Allergy & Pulmonary Medicine seeks a Prior‑Authorization Coordinator to perform pre‑authorization services, ensuring medical/surgical and... ...for benefit verification and pre‑certification of surgical and nonsurgical procedures...SuggestedHourly payWork experience placementWork at office$21.33 - $31.98 per hour
...Join our growing team at WashU Department of Pediatric Allergy & Pulmonary Medicine. Job Description Primary Duties... ...: Initiates and facilitates pre-determination process. Contacts... ...for benefit verification and pre-certification of surgical and nonsurgical...SuggestedHourly payWork experience placementWork at office- ...Responsibilities: Initiates and facilitates pre-determination process. Contacts... ...companies for benefit verification and pre-certification of surgical and nonsurgical procedures;... ...Maintains daily surgery/procedure schedule for department faculty; maintains open communication...Remote workHourly payFull timeTraineeshipWork experience placementWork at office
- ...Title: RN – Registered Nurse Department Pool – Preop “We dedicate our... ...Nurse Department Pool / PRN - Pre‑op BayCare Health System is... ...place to work! Qualifications Certifications and Licensures BLS (Basic Life... ...Weekend Work None On Call No Remote Work Never Equal Opportunity...Remote workReliefShift workWeekend work
- Washington University is seeking a Lead Pre-Certification Coordinator to work remotely in the Department of Medicine. This role involves leading the pre-certification team and ensuring efficient medical authorization processes while maximizing reimbursement through interaction...Remote job
- ...problem solving. At Arizona Department of Environmental Quality (... ...SCIENCE SPECIALIST 2/3 Operator Certification Coordinator ~ CAPACITY DEVELOPMENT UNIT... ...position is available for remote work per department needs... ...for 2 years’ experience). Pre-Employment Requirements If...Remote workFull timeTemporary workPart timeWork at officeImmediate startWork from home
- ...Procedure Scheduling Coordinator BJC HealthCare is seeking... ...for the Nuclear Medicine & PET Radiology Department. Position Details:... ...holidays Office-based, non-remote role with hands-on clinical... ...insurance information and pre-certification room referring physician...Remote workFull timeWork at officeMonday to FridayFlexible hoursDay shift
- ...Insurance Pre-Cert Coordinator - Outpatient Infusion Services, at Perelman... ...Center, FT Hybrid Penn Medicine is dedicated to our... ...Summary: ~ Obtain pre-certification and referrals for inpatient... ...education to all involved departments included but not limited to...Work at office
$17.31 - $33.28 per hour
...Pre-Certification Authorization Coordinator This position will perform prior authorization for advance medical imaging, including CT, MRI and PET... ...maintaining a competent and diverse work force. Equal Opportunity Employer Virginia Department of Human Resource ManagementHourly payTemporary workWork experience placementFlexible hours$20.57 - $30.84 per hour
...insurance, DME, and pharmacy companies for benefit verification and pre‑certification of surgical/nonsurgical procedures, medications, and... ...certification process. Maintains surgery/procedure schedule for department faculty and keeps open communication with physicians and...Hourly payWork experience placementWork at office- Washington University is looking for a Pre-Certification Coordinator I for the Pediatric Allergy & Pulmonary Medicine department in St. Louis. This full-time position requires prior experience in a medical office setting, as you will handle essential pre-certification processes...Full timeWork at office
- ...Virtual Group Visit Coordinator (VGVC) role will... ...General Internal Medicine (DGIM) Health... ...staff in various departments and practices. The... ...position is 100% remote with occasional in... ...Coaching (NBC-HWC) Certification: Required... ...hypercholesterolemia, diabetes, and pre‑metabolic...Remote workTraineeshipWork at office
$20 - $28 per hour
...27th, through Sunday, Nov 30th. POA News February 2026: Pre-Certification Coordinator February 2026: Pre-Certification Coordinator by Princeton... ...organization, functions, policies and procedures of the department, and the inter-relationship with insurance carriers and MRI...Hourly payFull timePrivate practiceWork at officeFlexible hours- ...Ventricular Assist Device Coordinator Join... ...of cardiovascular medicine. Active RN licensure... ..., inpatient, and remote work... ...complete. Manages pre-operative preparation... ...and goals of the department. Nursing... ...Responsibilities: Certifications: LIC-Registered...Remote workTemporary workWork experience placementWork from homeMonday to FridayFlexible hoursDay shift1 day per week
- ...RN Transfer Center Bedflow Coordinator for the Fort Norfolk Transfer... ...registered nurse, ICU, emergency department, ED, ER, intensive care unit... ...,000 • Reimbursement for certifications and free access to complete... ...that are available as remote work, Sentara Health employs...Remote workFull timeTemporary workShift workDay shift
- A recruitment agency is seeking a Pre-Certification RN to evaluate clinical conditions and determine medical necessity for services. This remote position requires an active RN license in PA or a Compact license, along with a minimum of 3 years of acute care clinical experience...Remote job
$28.92 - $42.96 per hour
...Licensed Practical Nurse, Pre-Surgery Screening –... ...Location: Remote after training. Training... ...Pre-Surgical Screening department, you will be responsible... ...Current Basic Life Support Certification, or the ability to obtain... ...Coviello, Recruiting Coordinator, ****@*****.*** ....Remote workFull timeLocal areaWork from home$87.76k - $116.71k
...expert internal consultant for multiple departments (HSS, PFS, Compliance, Surgery,... ...Reviews all surgery cases across BHSF pre and post‑procedure to ensure appropriate... ...Qualifications Degree: Bachelor’s Licenses & Certifications: AAMCN Utilization Review Professionals...Remote jobFor contractorsLocal area$95k - $135k
Job Title: Transplant Coordinator — Registered Nurse (License... ...Barnabas Medical Ctr Department Name: Organ... ...kidney transplantation. Pre-Transplant Coordinators... ...New Jersey Phlebotomy Certification Three to five years of... ...required for a fully remote RN with no in-person patient...Remote workFull timeFlexible hoursShift workDay shift$57.82k - $92.37k
...Behavioral Health Intake Coordinator, Pennsaukan role at... ..., seven emergency departments, seven urgent care centers... ...affiliated with Penn Medicine for cancer and... ...preferred. Training / Certification / Licensure Licensure... ...Health (Crisis Triage) - remote Philadelphia, PA $30,...Remote workDaily paidFull timeTemporary workPart timeLocal areaFlexible hoursShift workRotating shiftDay shift- ...Transplant Coordinator (RN) Registered Nurse - Pre-Kidney Inova Fairfax Medical Campus is looking for a... ...efficient and consistent operation of the department within regulatory guidelines and... ...and maintaining professional certification. Performs other duties as assigned...Relief3 days per week
$45 per hour
National Healthcare Recruiting Manager @ The Judge Group | Connecting top healthcare workers with their dream job Pre-Certification RN Location: Remote (must reside in PA, NJ, or DE) Employment Type: Temporary with potential for permanent placement Schedule: Monday-Friday...Remote workPermanent employmentTemporary workMonday to FridayDay shift- ...Penn Medicine is dedicated to our tripartite mission... ...Location: Remote based out of Bala Cynwyd... ...Hours: 8hr Days Department: Talent Acquisition HR... ...Summary: The Staffing Coordinator is responsible for ensuring... ...that all pertinent certifications, licenses, and legal...Remote work
- At Houston Methodist, the Pre‑Transplant Coordinator position is a registered nurse responsible for participating in department initiatives, facilitating, and coordinating all aspects... ...experience preferred Licenses and Certifications - Required RN - Registered Nurse -...Permanent employment
$24 - $35 per hour
...Practice Coordinator Founded in 2001 and headquartered... ...exceptional care in hospital medicine, emergency medicine,... .... Why join us? A remote-first culture that... ...and multiple hospital departments including the Medical... ...completion of death certificates Ensuring all aspects...Remote workHourly payFull timeLocumWork at officeLocal areaImmediate startFlexible hoursShift work- A healthcare provider is seeking a Referral Coordinator I to facilitate provider referrals, pre-certifications, and authorizations for managed care insurance plans. This full-time position requires a high school diploma or equivalent and involves coordinating with various...Remote workFull time
- ...and Bariatric Surgery Coordinator has responsibility and... ...liaison among Michigan Medicine, MBSAQIP, MBSC, the... ...the triennial MBSAQIP Pre-Review Questionnaire,... .../MPU, ICUs, emergency departments, MiChart, Cornerstone,... ...for hybrid or mobile/remote work mode are at the discretion...Remote workTraineeship
- ...RN - Registered Nurse Department Pool - Pre-Admission Testing BayCare Health System is currently... ...to work! Qualifications: Certifications and Licensures: BLS (Basic Life Support... ...will this team member be working remotely? Never Equal Opportunity Employer...Remote workShift workWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Pre-Certification Coordinator I (Remote) - Department of Medicine. Be the first to apply!
- contractor coordinator Kansas City, MO
- cash applications coordinator Kansas City, MO
- risk management coordinator Kansas City, MO
- access coordinator Kansas City, MO
- localization coordinator Kansas City, MO
- experience coordinator Kansas City, MO
- revit coordinator Kansas City, MO
- promotional review coordinator Kansas City, MO
- work from home travel coordinator Kansas City, MO
- inspection coordinator Kansas City, MO



