Pre-Certification Coordinator I - Pediatrics Cardiology

About the role

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.

Primary Duties & Responsibilities

• Initiates and facilitates pre-determination process.
  • Contact appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures.
  • Notify financial counselor for pre-payment of un-coded services.
  • Supply all documentation required during pre-certification process to insurance companies.
  • Maintain daily surgery/procedure schedule for department faculty.
  • Maintain open communication with physicians and their assistants regarding their schedules.
  • Maintain written log of all pre-certifications in process.
  • Notify hospital utilization/billing department of pre-certification.
  • Document when pre-certification is received from insurance companies.
• Perform other duties as assigned.

Working Conditions

Job Location/Working Conditions: Normal working environment. Patient care setting. Physical Effort: Typically sitting at desk or table. Repetitive wrist, hand or finger movement. Equipment: Office equipment.

Education

Required Qualifications: High school diploma or equivalent high school certification or combination of education and/or experience.

Preferred Qualifications

Associate degree

Certifications/Professional Licenses

No specific certification/professional license is required for this position.

Work Experience

Medical Office Setting (2 Years)

Skills

Not Applicable

Driver's License

A driver's license is not required for this position.

More About This Job

WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.

Additional Information

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.