Pre-Certification Coordinator (Remote) - Neurology

Washington University in St. Louis • Remote - Missouri, MO

3d • Remote

About The Position

The Pre-Certification Coordinator is responsible for obtaining Prior Authorization for medications and infusions to ensure drug coverage through required interaction with third-party payers. This role also involves obtaining pre-certification for Ancillary Tests through interaction with third-party payers. The position acts as a liaison between internal and external customers, including patients, families, healthcare professionals, and administrative/clinical office staff. The coordinator will counsel patients and families on the pre-certification or prior-authorization process, answer questions, and provide regular updates on the status of authorizations. Miscellaneous duties may be assigned.

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

• Contacts appropriate insurance companies for authorization for medications and infusions and ancillary testing.
• Ensures all necessary authorizations have been received and documented appropriately based on department policy in Epic.
• Acts as liaison between internal & external customers including patients and families, healthcare professionals, administrative & clinical office staff.
• Counsel patients and families on the pre-certification or prior-authorization process.
• Answers questions and provides regular updates on status of authorization.
• Miscellaneous duties, as assigned.

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and 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, and more!
• 4 weeks of caregiver leave to bond with your new child.
• Family care resources are also available for your 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED