Washington University in St. Louis is hiring a Supervisor Pre-Certification (Remote) - Otolaryngology

Washington University in St. Louis seeks a Supervisor of Pre-Certification to lead the day-to-day operations for the Otolaryngology department. In this remote role, you will supervise the predetermination process, provide operational oversight for operating room scheduling, and counsel patients on financial assistance options.

What You'll Do

• Develop, implement, and ensure adherence to policies to optimize the precertification process and minimize financial loss.
• Initiate and facilitate the predetermination process, interacting directly with patients regarding non-coverage to develop self-pay financial plans.
• Work with faculty, clinical staff, and other departments to coordinate on package pricing and ensure agreement with developed financial plans.
• Monitor volumes through reporting to adjust staffing levels and workload distribution as needed.
• Interact with representatives of major third-party carriers to resolve prior approval problems and discuss program changes.
• Participate in selecting, training, supervising, and evaluating new employees, and assist with coverage during absences.
• Provide operational oversight of operating room scheduling activities to ensure cases are appropriately scheduled, authorized, and released.
• Demonstrate working knowledge of Epic surgical scheduling workflows, including Snapboard, to monitor case status and identify issues.
• Coordinate with surgeons, clinic staff, and perioperative services to align pre-certification status with OR scheduling timelines.
• Ensure staff consistently follow pre-certification and OR scheduling workflows to prevent surgical delays, cancellations, or financial risk.
• Assist in troubleshooting scheduling-related issues that impact authorization, financial clearance, or surgical readiness.

What We're Looking For

• Experience in precertification and/or medical management.
• An associate degree.
• Supervisory management skills.

Technical Stack

• Epic surgical scheduling workflows, including Snapboard.

Team & Environment

You will supervise the pre-certification staff.

Benefits & Compensation

• Salary range: $56,200.00 - $87,100.00 annually.
• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance 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 programs including challenges, health screenings, mental health resources, mindfulness programs, an employee assistance program (EAP), financial resources, and access to dietitians.
• 4 weeks of caregiver leave.
• Tuition coverage for employee and family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years.

Work Mode

This is a fully remote position.

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups.