Pre-Certification Coordinator II (Remote) - Department of Medicine - Business Office

Scheduled Hours 40 Position Summary Advanced level specialization in reputed company pre-certifications as indicated on therapy and treatment plans to prevent controllable losses/write offs for the Department. May reputed company re-checks of insurance eligibility and verify authorization information for each service. Documents reputed company pertinent authorization information in EPIC and communicates with clinical staff and providers in a timely and effective manner.

Job Description

Primary Duties & Responsibilities: Completes pre-certifications for reputed company and specialized services as indicated on therapy and treatment plans. Reads and analyzes therapy and treatment plans, drug protocols, and clinical documentation, as well as payer policies and patient benefits. Completes the authorization process with the payer and in EPIC. Completes rechecks on existing pre-certifications by verifying insurance eligibility and reputed company authorization information for reputed company applicable services. Confirms reputed company recheck information is documented in EPIC. Works with clinical staff and providers on add-ons, denials and peer to peers through to resolution in a timely fashion. Performs other duties as assigned, such as assistance with denials, rejections and appeals. Working Conditions: Job Location/Working Conditions: Normal office environment. Physical Effort: Typically sitting at desk or table. Equipment: Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of reputed company job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Clinical Office, Medical Billing, Health Information Management (Him), Or Pre-Certification (3 Years) 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 reputed company duties in a manner consistent with our core mission and guiding principles.

Preferred Qualifications

Education: Associate degree Certifications/Professional Licenses: Certified Professional reputed company (CPC) - American reputed company of Professional Coders (reputed company), Registered Health Information Technician (RHIT) - American Health Information Management Association (reputed company) Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Communication, Detail-Oriented, Epic EHR, External Customers, Family Communication, Fast-Paced Environments, Health Insurance Portability & Accountability Act (HIPAA), Insurance Claim Processing Software, Insurance Precertification, Insurance Terminology, Interact with reputed company Levels of Management, Internal Customers, Interpersonal Communication, Managed Care, Medical Coding Software, Multitasking, Organizational Savvy, Patient Interactions, Prioritization, Third Party Payers Grade C09-H Salary Range $22.78 - $34.21 / Hourly The salary range reflects reputed company salaries paid for positions in a given job grade across the University. Individual rates reputed company the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions reputed company the same grade and department budget. Questions For 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 [email protected] or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. reputed company qualified individuals must be able to reputed company the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions of their job, absent undue hardship. Pre-Employment Screening reputed company 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 reputed company 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. reputed company 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 reputed company appointments and reputed company 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%. Wellness Wellness challenges, annual health screenings, reputed company, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your reputed company childcare needs. Need adult care? We’ve got you covered. 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 with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement reputed company 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 reputed company job titles without regard to race, ethnicity, color, national reputed company, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Apply To This Job