Pre-Certification & Payer Coordination Specialist

Washington University in St. Louis; United States; On-site; USD 29,000 - 44,000; Full time

Benefits offered by this job

Vacation time

Holidays

Health insurance

Metro transit U-Pass

403(b) retirement plan

Wellness programs

Employee assistance program

Job summary

Washington University in St. Louis seeks a professional to support pre-certification, verify benefits, and coordinate documentation with insurance providers. This role ensures efficient surgical and diagnostic scheduling and maximizes reimbursement through thorough payer interactions.

key tasks include maintaining schedules, logging pre-certifications, and coordinating with hospital departments. A high school diploma is required, with preferred CPC/RHIT credentials and 2+ years in a medical

Qualifications

• High school diploma or equivalent.
• 2 years in a medical office setting.
• No specific certification required for this position.

Responsibilities

• Initiate and facilitate pre-determination processes.
• Contact insurance companies for benefit verification and pre-certification.
• Provide documentation for pre-certification to insurers.
• Maintain daily surgery/procedure schedule and communicate with physicians.
• Maintain a log of all pre-certifications and notify relevant departments.
• Document receipt of pre-certifications from insurers.
• Perform additional duties as assigned.

Skills

Communication

Third party payers

Interpersonal communication

Organizing

Insurance

Medical office collaboration

Education

Associate degree

CPC - AAPC

RHIT - AHIMA

Job description

Washington University in St. Louis seeks a professional to support pre-certification, verify benefits, and coordinate documentation with insurance providers. This role ensures efficient surgical and diagnostic scheduling and maximizes reimbursement through thorough payer interactions.

key tasks include maintaining schedules, logging pre-certifications, and coordinating with hospital departments. A high school diploma is required, with preferred CPC/RHIT credentials and 2+ years in a medical