Pre-Certification & Scheduling Coordinator I

Washington University in St. Louis; Ann Arbor (MI); On-site; USD 28,930,000 - 44,083,000; Full time

Benefits offered by this job

Vacation & holidays

Health insurance

Metro transit U-Pass

Retirement plan

Job summary

Washington University in St. Louis is hiring for a Pre-Certification/Medical Office position in Saint Louis, MO. The role focuses on initiating pre-determination, verifying benefits with insurers, and preparing necessary documentation to optimize reimbursement.

Qualifications include a high school diploma, Medical Office experience, and CPC/RHIT credentials being preferred. The department emphasizes accuracy, communication with physicians, and adherence to pre-certification processes.

Qualifications

• Education: High school diploma or equivalent.
• Certifications / Professional Licenses: CPC and RHIT preferred.
• Work Experience: Medical Office Setting (2 Years)
• Skills: Not Applicable
• Driver’s License: A driver’s license is not required for this position.

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.
• 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)

RHIT - AHIMA

Job description

Washington University in St. Louis is hiring for a Pre-Certification/Medical Office position in Saint Louis, MO. The role focuses on initiating pre-determination, verifying benefits with insurers, and preparing necessary documentation to optimize reimbursement.

Qualifications include a high school diploma, Medical Office experience, and CPC/RHIT credentials being preferred. The department emphasizes accuracy, communication with physicians, and adherence to pre-certification processes.