Pre-Certification Coordinator II - Pediatric Endocrinology

About the role

Scheduled Hours 40
Position Summary: Position performs prior-authorization services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with payers.

Primary Duties & Responsibilities

• Initiates and facilitates prior authorization process.
• Contact appropriate insurance companies for benefit verification and pre-certification of surgical and non-surgical procedures, outpatient testing, and medications.
• Notify financial counselor for pre-payment of un-coded services.
• Supply all documentation required during pre-certification process to insurance companies.
• 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.
Non-patient facing.
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

No additional work experience unless stated elsewhere in the job posting.

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.

Salary Range

$23.63 - $35.49 / Hourly

Questions

If you have frequently asked questions about the application process, please refer to our External Applicant FAQ.

Accommodation

If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

Pre-Employment Screening

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.

Benefits Statement

Personal: 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%.

EEO Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.