Pre-Certification Coordinator II - Pediatric Endocrinology

Washington University; St. Louis (MO); On-site; USD 31,381 - 47,127; Full time

Benefits offered by this job

Up to 22 days of vacation

Competitive health insurance packages

Free Metro transit U-Pass

Job summary

Washington University in St. Louis is seeking a Pre-Certification Coordinator II for Pediatric Endocrinology. This full-time position is responsible for ensuring efficient prior authorization services to maximize reimbursement through necessary interactions with insurance payers.

Qualified candidates should have at least a high school diploma and 3 years of related work experience, with strong communication and organizational skills. The role offers competitive benefits and the opportunity to work in a supportive environment.

Qualifications

• High school diploma or equivalent required.
• 3 years of work experience in clinical office, medical billing, or pre-certification.
• Preferred: Certified Professional Coder (CPC) or Registered Health Information Technician (RHIT).

Responsibilities

• Initiate and facilitate the prior authorization process.
• Contact insurance companies for benefit verification.
• Maintain documentation for pre-certifications.

Skills

Communication

Detail-Oriented

Epic EHR

Insurance Claim Processing Software

Education

Associate degree

Job description

## Pre-Certification Coordinator II - Pediatric EndocrinologyApplyremote type: On Campus/Onsitelocations: Washington University Medical Campustime type: Full timeposted on: Posted 10 Days Agojob requisition id: JR95097# **Scheduled Hours**40# **Position Summary**Position performs prior-authorization services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with payers.# **Job Description****Primary Duties & Responsibilities:*** Initiates and facilitates prior authorization process.* Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and non-surgical procedures, outpatient testing, and medications; notifies financial counselor for pre-payment of un-coded services.* Supplies all documentation required during pre-certification process to insurance companies.* 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.**Working Conditions:****Job Location/Working Conditions:*** Normal working environment.* Non-patient facing.**Physical Effort:*** Typically sitting at desk or table.* Repetitive wrist, hand or finger movement.**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 all 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 perform duties in a manner consistent with our core mission and guiding principles.## # **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, Detail-Oriented, Epic EHR, Fast-Paced Environments, Health Insurance Portability & Accountability Act (HIPAA), Insurance Claim Processing Software, Insurance Precertification, Insurance Terminology, Interpersonal Communication, Medical Coding Software, Multitasking, Organizational Savvy, Prioritization# **Grade**C09-H# **Salary Range**$22.78 - $34.21 / HourlyThe 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.For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/# **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.