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

Location: Remote, US • Scheduled Hours: 40 per week • Grade: C08-H

About the role

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.

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.

Working Conditions

• Environment: Normal working environment; patient care setting.
• Physical Effort: Typically sitting at desk or table; repetitive wrist, hand, or finger movement.
• Equipment: Office equipment.

Requirements

• Education: High school diploma or equivalent high school certification or combination of education and/or experience.
• Experience: Medical Office Setting (2 Years).
• Certifications/Licenses: No specific certification or professional license required.
• Driver's License: Not required.

Qualifications

• Preferred Education: Associate degree.
• Preferred Certifications: Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA).
• Preferred Skills: Communication, External Customers, Insurance, Internal Customers, Interpersonal Communication, Managed Care, Medical Insurance Coding, Organizing, Third Party Payers.

Pay

Salary Range: $21.33 – $31.98 per hour. The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade, and department budget.

Benefits

• Personal: 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 with employee contributions and university contributions starting at 7%.
• Wellness: Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians.
• Family: 4 weeks of caregiver leave to bond with new child; family care resources for childcare and adult care; tuition coverage for employee and family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years.