Pre-Certification Coordinator I – Medical Office Ops

Washington University in St. Louis; United States; Presencial; USD 29.000 - 44.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Vacation & holidays

Health insurance

Metro U-Pass transit benefit

403(b) Retirement Savings Plan

Wellness program

Descripción de la vacante

Washington University in St. Louis in Saint Louis, MO, is seeking a healthcare administrative professional to manage pre-certification processes and coordinate with insurance payers to maximize reimbursements.

The role involves maintaining schedules, documenting certifications, and collaborating with physicians and the financial team. The candidate should have a high school diploma (or equivalent) with 2 years in a medical office setting; CPC and RHIT certifications are preferred for

Formación

• High school diploma or equivalent required; combination with experience acceptable.
• Medical Office Setting experience preferred (2 years).
• No specific professional license required.

Responsabilidades

• Initiates and facilitates pre-determination process with insurance payers.
• Contacts insurance companies for benefit verification and pre-certification of procedures.
• Notifies financial counselor for pre-payment of un-coded services.
• Maintains daily surgery/procedure schedule and communicates with physicians and assistants.
• Maintains log of all pre-certifications and notifies billing/utilization departments.
• Documents when pre-certifications are received and supports the overall pre-certification process.

Educación

High school diploma or equivalent

Associate degree

Certified Professional Coder (CPC)

RHIT - AHIMA

Descripción del empleo

Washington University in St. Louis in Saint Louis, MO, is seeking a healthcare administrative professional to manage pre-certification processes and coordinate with insurance payers to maximize reimbursements.

The role involves maintaining schedules, documenting certifications, and collaborating with physicians and the financial team. The candidate should have a high school diploma (or equivalent) with 2 years in a medical office setting; CPC and RHIT certifications are preferred for