Pre-Certification Coordinator I (Remote) - Depatment of Medicine

Position Summary

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.

Primary Duties & 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

• Normal working environment.
• Patient care setting.

Physical Effort

• Typically sitting at desk or table.
• Repetitive wrist, hand or finger movement.

Equipment

• Office equipment.

Required Qualifications

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

Preferred Qualifications

• Associate degree.
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) or Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA).

Skills

• Communication.
• External Customers.
• Insurance.
• Internal Customers.
• Interpersonal Communication.
• Managed Care.
• Medical Insurance Coding.
• Organizing.
• Third Party Payers.

Pay

Grade C08-H. Salary range: $21.33 - $31.98 / Hourly. Individual rates within the range determined by factors including qualifications, performance, equity, market rates, 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.
• Retirement: Defined contribution (403(b)) Savings Plan with employee contributions and university contributions starting at 7%.
• Wellness: Wellness challenges, annual health screenings, mental health resources, mindfulness programs, employee assistance program (EAP), financial resources, access to dietitians.
• Family: 4 weeks of caregiver leave to bond with new child; family care resources; tuition coverage for employee and family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years.