Washington University in St. Louis
Pre-Certification Coordinator I (Remote) - Department of Medicine
RemoteUnited States only
- Role
- Operations
- Experience
- Mid
- Employment
- Full-time
- Company size
- Enterprise
$21.33–$31.98/hr
Check eligibility
Open to US only. Set where you work from to check your eligibility.
No BS summary
Remote US pre-certification coordinator for medical/surgical and diagnostic services. Requires high school diploma or equivalent and 2 years in a medical office setting. Insurance, managed care, medical coding, CPC/RHIT are preferred.
What you'll do
- 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.
What they require
- High school diploma or equivalent high school certification or combination of education and/or experience.
- No specific certification/professional license is required for this position.
- Medical Office Setting (2 Years)
- A driver's license is not required for this position.
- WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.
- Typically sitting at desk or table.
- Repetitive wrist, hand or finger movement.
- 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.
- Preferred: Associate degree
- Preferred: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
- Preferred: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
- Preferred: Communication
- Preferred: External Customers
- Preferred: Insurance
- Preferred: Internal Customers
- Preferred: Interpersonal Communication
- Preferred: Managed Care
- Preferred: Medical Insurance Coding
- Preferred: Organizing
- Preferred: Third Party Payers
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.
private research university in St. Louis, Missouri, United States
$21.33–$31.98/hr