Pediatric Pre-Cert Coordinator I — Endocrinology

Washington University; Northern (KY); Hybrid; USD 29,000 - 44,000; Full time

Benefits offered by this job

Vacation & holidays

Metro U-Pass

Tuition assistance

Job summary

Washington University Medical Campus in Saint Louis, MO seeks a Pre-Certification Coordinator I in Pediatric Endocrinology to ensure accurate pre-determination, payer verification, and timely scheduling. This full-time on-campus role involves coordinating with physicians, patients, and insurance companies to optimize reimbursement.

The role requires strong communication and organizational skills, with preferred CPC and RHIT credentials.

Qualifications

• High school diploma or equivalent; associate degree preferred.
• CPC and RHIT certifications preferred.
• Experience in medical coding and payer interactions advantageous.

Responsibilities

• Initiates and facilitates pre-certification and benefit verification.
• Contact insurance companies for pre-authorization of procedures.
• Prepare and submit documentation to payers; coordinate with billing.
• Maintain daily surgery/procedure schedules and communicate with faculty and assistants.
• Document pre-certifications and inform utilization/billing teams.
• Perform other duties as assigned.

Skills

Communication

External Customers

Insurance

Internal Customers

Interpersonal Communication

Managed Care

Medical Insurance Coding

Organizing

Third Party Payers

Education

High school diploma or equivalent

Associate degree

Job description

Washington University Medical Campus in Saint Louis, MO seeks a Pre-Certification Coordinator I in Pediatric Endocrinology to ensure accurate pre-determination, payer verification, and timely scheduling. This full-time on-campus role involves coordinating with physicians, patients, and insurance companies to optimize reimbursement.

The role requires strong communication and organizational skills, with preferred CPC and RHIT credentials.