Logo
Washington University

Supervisor Pre-Certification (Remote) - Otolaryngology

Washington University, Olympia, Washington, United States

Save Job

* 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.* 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%.* 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.Washington University in St. Louis' collective success is significantly attributed to the passion and outstanding efforts of our community. Our staff, faculty and trainees are committed to excellence and dedicated to carrying out our missions of research, teaching and patient care.WashU prides itself on being a place where people matter, and serious work is done. Our people work together in an inclusive community that celebrates diverse perspectives, collaboration and innovation. We are a community of individuals inspired to work together to develop big ideas and tackle challenging problems.We value the well-being of our people. WashU strives to create a positive employee experience where staff, faculty and trainees thrive, both personally and professionally. Our employees find meaning, connection and vitality in their work and life with a healthy work-life balance and support to learn, grow and make an impact at WashU, the community and the world.**Useful Links****Accommodation**If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.**Regulatory Postings**Know Your Rights: Workplace Discrimination is Illegal Poster(; ) #J-18808-Ljbffr