Pre-Certification Coordinator (Remote) - Department of Medicine - Business Office

Washington University in St. Louis

1d • Remote

About The 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. 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.

Requirements

• High school diploma or equivalent high school certification or combination of education and/or experience.
• Medical Office Setting (2 Years)

Nice To Haves

• Some college or associate degree.
• RHIT and/or CPC certification, coding experience.
• 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.
• Performs other 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.
• 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 challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
• 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? We’ve 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.

What This Job Offers

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