Sr. Pre-Certification Specialist

We are dedicated to providing exceptional care to every patient, every time. 

St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades.  

Position Summary: 

The Senior Precertification Specialist serves as a subject matter expert and lead team resource within the Financial Clearance department. This role is responsible for performing all standard precertification duties while also providing peer-level leadership, including auditing staff performance, assisting with staff training, supporting onboarding of new team members, and serving as the first point of contact for escalated questions. The Senior Specialist collaborates closely with Supervisors and the Manager to promote operational excellence, compliance, and high-quality service delivery. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke’s mission and values.   

Education, Experience, & Licensing Requirements:   

Education: High School Diploma or GED required.  Associates Degree preferred. 

Experience: One or more years’ experience preferred or related experience working with insurance verification and pre-certification in the medical environment. One year or more of work experience in various areas of medical insurance preferred. - Knowledge of CPT and ICD-10 coding. 

Benefits for a Better You:  

Why You Belong Here:  

You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke’s family to be a part of making life better for our patients, their families, and one another.