Pre-Certification Coordinator I (Remote) - Neurology
About The Position
This 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. The primary duties include initiating and facilitating the pre-determination process, contacting appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures, and notifying the financial counselor for pre-payment of un-coded services. The role also involves supplying all necessary documentation for pre-certification, maintaining the daily surgery/procedure schedule, and keeping open communication with physicians and their assistants. A written log of all pre-certifications in process must be maintained, and the hospital utilization/billing department notified of pre-certification status. The coordinator will document when pre-certification is received from insurance companies.
Requirements
- High school diploma or equivalent high school certification or combination of education and/or experience.
- Medical Office Setting (2 Years)
- No specific certification/professional license is required for this position.
- A driver's license is not required for this position.
Nice To Haves
- Associate degree
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
- Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
- Communication
- External Customers
- Insurance
- Internal Customers
- Interpersonal Communication
- Managed Care
- Medical Insurance Coding
- Organizing
- Third Party Payers
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.
Benefits
- Up to 22 days of vacation
- 10 recognized holidays
- Sick time
- Competitive health insurance packages with priority appointments and lower copays/coinsurance
- Free Metro transit U-Pass for eligible employees
- Defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%
- Wellness challenges
- Annual health screenings
- Mental health resources
- Mindfulness programs and courses
- Employee assistance program (EAP)
- Financial resources
- Access to dietitians
- 4 weeks of caregiver leave to bond with your new child
- Family care resources for continued childcare needs
- Adult care resources
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
