Pre-Certification Coordinator (Remote) Department of Medicine Business Office
University City, MO - USA
Job Summary
Scheduled Hours
40Position Summary
Position performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with third-party payers.Job Description
Primary Duties & Responsibilities:
Initiates and facilitates pre-determination process.
Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures; notifies financial counselor for pre-payment of un-coded 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 their 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:
Job Location/Working Conditions:
Normal working environment.
Patient care setting.
Physical Effort:
Typically sitting at desk or table.
Repetitive wrist hand or finger movement.
Equipment:
Office equipment.
Required Qualifications
Education:
High school diploma or equivalent high school certification or combination of education and/or experience.
Certifications/Professional Licenses:
Work Experience:
Skills:
Drivers License:
More About This Job
WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.Preferred Qualifications
Education:
Associate degree
Certifications/Professional Licenses:
Work Experience:
Skills:
Communication External Customers Insurance Internal Customers Interpersonal Communication Managed Care Medical Insurance Coding Organizing Third Party PayersGrade
C08-HSalary Range
$20.57 - $30.84 / HourlyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including ones qualifications and performance equity with others in the department market rates for positions within the same grade and department budget.Questions
For frequently asked questions about the application process please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation please emailor call the dedicated accommodation inquiry number at and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and if requested reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job absent undue hardship.Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and as applicable for the position other background checks drug screen an employment and education or licensure/certification verification physical examination certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement
Personal
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%.
Wellness
Wellness challenges annual health screenings mental health resources mindfulness programs and courses employee assistance program (EAP) financial resources access to dietitians and more!
Family
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care Weve got you covered.
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.
For policies detailed benefits and eligibility please visit: StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the Universitys 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.
Required Experience:
IC