Mercy Health

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Pre-Certification Coordinator

Pre-Certification Coordinator

Requisition ID 
Other Professional Non-Clinical
Position Type 
Full Time
MC Heart&Vasc-Heart Hosp
US-MO-Saint Louis

More information about this job


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We’re a Little Different


Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.  


We don’t believe in jobs at Mercy, we believe in careers that match the unique gifts of unique individuals; careers that not only make the most of your skills and talents, but also your heart.


At Mercy, you’ll feel our supportive community every step of your day, especially the tough ones. We’re a team and love working that way. That team is expanding, and we currently have exceptional opportunities to help our communities grow.


Responsibilities and Qualifications

The Precert-Preauth Coordinator is responsible for multiple facets of patient financial account services within the practice; including but not limited to patient benefit assessment, insurance verification, pre-certification, pre-authorizations, pre-determination for services, and referrals management. The position requires a thorough understanding of office-management software and a good working knowledge of medical/surgical clinical procedures, claims procedures and insurance company regulations. Requires accuracy, attention to detail and ability to communicate well with physicians, staff, patients and provider representatives of insurance companies. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.


  • Assesses, obtains, verifies and documents patients insurance coverage and benefits to determine coverage for physician office visits, diagnostic testing and surgical procedures.
  • As determined by the patients insurance, obtains pre-certification and/or
  • preauthorization prior to hospitalization, off-site surgery, diagnostic procedures, treatments and or physician visits.
  • Communicates with patients their benefits and potential out of pocket exposure for surgical procedures ordered by physicians.
  • Documents accurately in computer database all referral, pre-certification and other information relevant to a patients insurance coverage and financial arrangements.
  • Files with patients insurance company and monitors response to pre-determination letters for surgical procedures.
  • Responds promptly to requests from Mercy billing services for information, corrections and account updates.
  • Under the direction of a manager or administrator, works together with social worker and appropriate co-workers to identify patients who require financial assistance and supports the process by which application is made and eligibility is determined.
  • Acts as a resource to staff regarding insurance and billing processes.
  • Responds to patient inquiries regarding insurance and billing issues and coordinates responses with Mercy billing services.


Because you’re committed to excellence, you understand the importance of being properly prepared for your role at Mercy. That’s why you’ll bring to your role the right set of qualifications:


  • High school graduate or equivalent
  • Two year minimum experience working with healthcare
  •  insurance, billing and coding experience
  • Excellent written and verbal communication skills.
  • Knowledge of current coding for CPT/ICD9/HCPS.
  • Medical terminology.
  • Certification as Coding Specialist preferred.



We’ll Support You at Work and Home


Our foundations are built on dignity and respect. Modern Healthcare Magazine named us as a “top 100 places to work.” We go out of our way to help people feel welcomed. We offer day-one comprehensive health, vision and dental coverage, PTO, and employer-matched retirement funds, even to part-time employees. We’re proud to provide tuition reimbursement to help you grow and learn new skills.


What Makes a Good Match for Mercy


Compassion and professionalism go hand-in-hand with us, along with exceptional quality care. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and are not afraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a fit for you as well, we encourage you to apply.

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What if I am not ready to apply? Submit your resume here and be considered for future opportunities!