Washington University in St. Louis is hiring a Pre-Certification Coordinator I (Hybrid) for the Surgery department. You will perform varied professional services to ensure medical and surgical services are accomplished efficiently and reimbursement is maximized through required interaction with third-party payers.
What You'll Do
- Initiate and facilitate the 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 the pre-certification process to insurance companies.
- Maintain daily surgery and procedure schedules for department faculty; maintain open communication with physicians and their assistants regarding their schedules.
- Maintain a written log of all pre-certifications in process; notify hospital utilization and billing department of pre-certification.
- Document when pre-certification is received from insurance companies.
What We're Looking For
- High school diploma or equivalent high school certification, or a combination of education and experience.
- 2 years of experience in a Medical Office Setting.
Nice to Have
- 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 in communication, working with external and internal customers, insurance knowledge, interpersonal communication, managed care, medical insurance coding, organizing, and third-party payers.
Benefits & Compensation
- Compensation: $20.57 - $30.84 per hour.
- 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.
- Eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines 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.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years.
Work Mode
This position offers a hybrid work arrangement.
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.
