Pre-Certification Coordinator I (Remote) - Neurology

UNKNOWN; Missouri; Hybrid; USD 61,119,000 - 91,635,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Retirement plan (403b)

Job summary

Washington University in St. Louis (WashU) seeks a medical office professional to coordinate pre-certification, verify benefits with insurers, and document all steps to maximize reimbursements.

This remote US role (40 hours) requires a high school diploma and medical office experience; preferred CPC and RHIT certifications, and an associate degree.

Qualifications

• High school diploma or equivalent is required.
• Medical office setting experience (2 years) is typical for this role.

Responsibilities

• Initiates and facilitates pre-determination process with insurance carriers.
• Contacts insurance companies for benefit verification and pre-certification of procedures.
• Maintains scheduling and communicates with physicians and staff about patient procedures.
• Documents and tracks all pre-certifications and notifies relevant departments.

Education

High school diploma or equivalent

Associate degree

Certified Professional Coder (CPC)

Registered Health Information Technician (RHIT)

Job description

Location Remote, US Scheduled Hours 40

Position Summary

Performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with third-party payers.

Primary Duties & 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.

Working Conditions

Job Location/Working Conditions Normal working environment. Patient care setting. Physical Effort Typically sitting at desk or table. Repetitive wrist, hand or finger movement. Equipment Office equipment.

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: Medical Office Setting (2 Years)

Skills: Not Applicable

Driver's License: A driver's license is not required for this position.

Preferred Qualifications

Education: Associate degree

Certifications/Professional Licenses: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)

Work Experience: No additional work experience unless stated elsewhere in the job posting.

Skills: Communication, External Customers, Insurance, Internal Customers, Interpersonal Communication, Managed Care, Medical Insurance Coding, Organizing, Third Party Payers

Grade C08-H Salary Range

$21.33 - $31.98 / Hourly

The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within 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 [e-mail] or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

Pre-Employment Screening

All 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 check 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. All 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 priority appointments and lower 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, mental health resources, 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 continued 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.

EEO Statement

Washington University in St. Louis 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 all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

Washington University in St. Louis' collective success is significantly attributed to the passion and outstanding efforts of our community. Our staff, faculty and trainees are committed to excellence and dedicated to carrying out our missions of research, teaching and patient care. WashU prides itself on being a place where people matter, and serious work is done. Our people work together in an inclusive community that celebrates diverse perspectives, collaboration and innovation. We are a community of individuals inspired to work together to develop big ideas and tackle challenging problems. We value the well‑being of our people. WashU strives to create a positive employee experience where staff, faculty and trainees thrive, both personally and professionally. Our employees find meaning, connection and vitality in their work and life with a healthy work‑life balance and support to learn, grow and make an impact at WashU, the community and the world.

Q: Can I create a job alert to notify me when jobs of interest are posted?

A: Yes! After you create a Candidate Home account, you can set up and manage job alerts to be sent to you either daily or weekly, according to the filters you select. You can add, edit, or delete job alerts at any time. You will need to opt in to communications from WashU when you set up your first alert and will only receive alerts for jobs posted after the alert has been created. Set alerts today so you do not miss any new opportunities!

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