Supervisor Pre-Certification (Remote) - Neurology

Washington University in St. Louis

1d • Remote

About The Position

Provides supervision and oversight of the day-to-day operations of the pre-determination/pre-certification process, and counsels patients and/or families on options for financial assistance. Develops, implements and ensures adherence to policy and procedures to optimize the pre-certification process and minimize dollars lost to lack of pre-certification. Initiates and facilities pre-determination process. Directly interacts with patients regarding non-coverage and develops a self-pay financial plan. Works with faculty and clinical staff regarding self-pay package pricing and financial coordination plans for patients. Works with involved departments to ensure agreement with developed financial plans. Monitors volumes through reporting to ensure appropriate staffing levels. Adjusts workload distributions as needed. Interacts with representatives of major third-party carriers to resolve prior approval/pre-certification problems and discuss changes in third-party program requirements. Participates in selection process of new employees, training, supervising and evaluating employees; informs employees of changes in the department. Assists with coverage in staff areas during illness/vacations.

Requirements

• A diploma, certification or degree is not required.
• No specific certification/professional license is required for this position.
• No specific work experience is required for this position.
• Not Applicable
• A driver's license is not required for this position.

Nice To Haves

• Associate degree
• No additional certification/professional licenses unless stated elsewhere in the job posting.
• No additional work experience unless stated elsewhere in the job posting.
• Coaching
• Customer Service
• Insurance Precertification
• Medical Management
• Mentorship
• Process Improvements
• Supervisory Management
• Time Management

Responsibilities

• Develops, implements and ensures adherence to policy and procedures to optimize the pre-certification process and minimize dollars lost to lack of pre-certification.
• Initiates and facilities pre-determination process.
• Directly interacts with patients regarding non-coverage and develops a self-pay financial plan.
• Works with faculty and clinical staff regarding self-pay package pricing and financial coordination plans for patients.
• Works with involved departments to ensure agreement with developed financial plans.
• Monitors volumes through reporting to ensure appropriate staffing levels.
• Adjusts workload distributions as needed.
• Interacts with representatives of major third-party carriers to resolve prior approval/pre-certification problems and discuss changes in third-party program requirements.
• Participates in selection process of new employees, training, supervising and evaluating employees; informs employees of changes in the department.
• Assists with coverage in staff areas during illness/vacations.
• 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.
• 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: Mid Level
• Education Level: No Education Listed