Pre-Certification Coordinator - Medical Billing & Scheduling

Washington University in St. Louis; St. Louis (MO); On-site; USD 2,933,000 - 4,406,000; Full time

Benefits offered by this job

Up to 22 days vacation and 10 holidays

Competitive health insurance

Metro U-Pass for transit

WashU 403(b) retirement plan

Job summary

Washington University in St. Louis is seeking a healthcare administrative professional to handle pre-certification processes, verify benefits, and coordinate with surgeons and staff.

The role involves maintaining schedules, documenting pre-authorizations, and communicating with insurance providers to ensure timely reimbursement. Requirements include a high school diploma (associate degree preferred) and relevant medical office experience.

Qualifications

• Education: High school diploma or equivalent high school certification or combination of education and/or experience.
• Certifications/License: CPC and RHIT are preferred.
• Work Experience: Medical Office Setting (2 Years).
• Skills: Not Applicable.

Responsibilities

• Initiates and facilitates pre-determination process.
• Contacts insurance companies for benefit verification and pre-certification; notifies financial counselor for pre-payment.
• Supplies documentation for pre-certification to insurers.
• Mantains daily surgery/procedure schedule and communicates with physicians and assistants.
• Maintains log of pre-certifications and notifies relevant departments.
• Documents when pre-certification is received.
• Performs 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

Certified Professional Coder (CPC)

Registered Health Information Technician (RHIT)

Job description

Washington University in St. Louis is seeking a healthcare administrative professional to handle pre-certification processes, verify benefits, and coordinate with surgeons and staff.

The role involves maintaining schedules, documenting pre-authorizations, and communicating with insurance providers to ensure timely reimbursement. Requirements include a high school diploma (associate degree preferred) and relevant medical office experience.