Washington University in St. Louis is hiring a Pre-Certification Coordinator to join the Surgery department. In this remote position, you will perform professional services to ensure medical, surgical, and diagnostic procedures are completed efficiently and third-party reimbursement is maximized.
What You'll Do
- Initiate and facilitate the pre-determination process.
- Contact insurance companies for benefit verification and pre-certification of procedures.
- Supply all required documentation to insurance companies during the pre-certification process.
- Maintain the daily surgery and procedure schedule for department faculty.
- Keep open communication with physicians and their assistants regarding schedules.
- Maintain a written log of all pre-certifications in process.
- Notify the hospital utilization and billing department of pre-certifications.
- Document when pre-certification is received from insurance companies.
- Perform other duties as assigned.
What We're Looking For
- High school diploma or equivalent, or a combination of education and experience.
- 2 years of experience in a medical office setting.
Nice to Have
- Associate degree.
- Certifications such as Certified Professional Coder (CPC) from AAPC or Registered Health Information Technician (RHIT) from AHIMA.
- Skills in communication, managing external and internal customers, insurance processes, interpersonal communication, managed care, medical insurance coding, organizing, and third-party payers.
Technical Stack
- Standard office equipment.
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.
- Defined contribution (403(b)) Retirement Savings Plan with university contributions starting at 7%.
- Wellness challenges, health screenings, mental health resources, mindfulness programs, employee assistance program (EAP), financial resources, and access to dietitians.
- 4 weeks of caregiver leave.
- Family care resources.
- Tuition benefits 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 is a fully remote position within the Surgery department.
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity.
