Pediatric Pre-Certification Coordinator — Endocrinology

Washington University; United States; On-site; USD 29,000 - 44,000; Full time

Job summary

Washington University in St. Louis is seeking a Medical Office Specialist to support pre-certification processes, benefit verification, and scheduling within a patient care setting. This role helps maximize reimbursement by coordinating with insurers and healthcare teams.

Responsibilities include initiating determinations, maintaining schedules, and ensuring proper documentation for third-party payers, with a high school diploma and medical office experience as baseline qualifications.

Qualifications

• Education: High school diploma or equivalent high school certification or combination of education and/or experience.
• Preferred: Associate degree; CPC - American Academy of Professional Coders; RHIT - American Health Information Management Association.

Responsibilities

• Initiates and facilitates pre-determination process.
• Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures; notifies financial counselor for pre-payment of un-coded services.
• Supplies all documentation required during pre-certification process to insurance companies.
• Maintains daily surgery/procedure schedule for department faculty; maintains open communication with physicians and their assistants regarding their schedules.
• Maintains written log of all pre-certifications in process; notifies hospital utilization/billing department of pre-certification.
• Documents when pre-certification is received from insurance companies.
• Performs other duties as assigned.

Education

High school diploma or equivalent

Associate degree

CPC - AAPC

RHIT - AHIMA

Job description

Washington University in St. Louis is seeking a Medical Office Specialist to support pre-certification processes, benefit verification, and scheduling within a patient care setting. This role helps maximize reimbursement by coordinating with insurers and healthcare teams.

Responsibilities include initiating determinations, maintaining schedules, and ensuring proper documentation for third-party payers, with a high school diploma and medical office experience as baseline qualifications.