Pre-Certification Coordinator I (Remote) - Obstetrics and Gynecology

Location: Remote, US

About the Role

This position performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished efficiently and that reimbursement is maximized through required interaction with third-party payers. This is a primarily remote position with some on-site responsibilities and training.

Responsibilities

• Initiates and facilitates the pre-determination process.
• Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and non-surgical procedures; notifies financial counselor for pre-payment of un-coded services.
• Supplies all documentation required during the 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 a 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.

Requirements

• High school diploma or equivalent high school certification or combination of education and/or experience.
• 2 years of experience in a medical office setting.

Preferred Qualifications

• Associate degree.
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
• 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

Working Conditions

• Normal working environment.
• Patient care setting.

Physical Effort:

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

Equipment:

• Office equipment.

Pay

Salary Range: $21.33 - $31.98 / Hourly

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

• 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, combining 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 for continued childcare needs and adult care.
• Tuition coverage for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years.