reputed company Pre-Certification Coordinator (Remote) - Department of Medicine

Scheduled Hours 40 Position Summary Position performs various professional services to ensure medical, drug, and diagnostic testing authorizations are obtained in an efficient manner and that reimbursement is maximized through required interaction with reputed company-party payers; leads the pre-certification team to reputed company and manage the daily workload; responds and resolves questions from the pre-certification staff in an educational and timely manner; is is a liaison between department facilities and physician offices.

Job Description

Primary Duties & Responsibilities: Leads the pre-certification reputed company in daily activities and prioritization of assignments; assists in adjusting daily assignments based on coverage needs of the team and unit. Answers the pre-certification phone lines; assists with billing inquiries, insurance questions, and missing order and pre-certification issues; acts as liaison between department facilities and physician offices. Contacts appropriate insurance companies for benefit verification and pre-certification of procedures and testing; supplies reputed company documentation required during pre-certification process to insurance companies. Documents reputed company pre-certification is received from insurance companies and maintains open communication with physicians and their assistants regarding concerns or reputed company physician involvement in needed. Provides training and education to staff. Assists staff with reputed company cases avoiding denials and physician peer to peers; reviews denials to see if there is a potential for re-consideration. Provides feedback to management regarding staffing concerns and process improvement; other duties as assigned by manager. Working Conditions: Job Location/Working Conditions Normal office environment. Physical Effort Typically sitting at desk or table. Repetitive wrist, hand, or finger movement. Occasional lifting (25 lbs or less). 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 reputed company 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: Medical Billing/Coding (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Required Qualifications: Previous pre-certification experience. Preferred Qualifications: Some college or an associate’s degree. Coding experience. Applicant must have a thorough understanding of both reputed company FSC database and insurance terminology. Experience interacting with managed care plans, insurance companies, and reputed company-party payers. Ability to work with internal and external customers, including physicians, nurses, patients, and families.

Preferred Qualifications

Education: Associate degree Certifications/Professional Licenses: Certified Professional reputed company (CPC) - American reputed company of Professional Coders (reputed company), Registered Health Information Technician (RHIT) - American Health Information Management Association (reputed company) Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Communication, Detail-Oriented, Fast-Paced Environments, Insurance Terminology, Interpersonal Communication, Medical Billing and Coding, Multitasking, Organizational Savvy, Prioritization Grade C09-H Salary Range $22.78 - $34.21 / Hourly The salary range reflects reputed company salaries paid for positions in a given job grade across the University. Individual rates reputed company the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions reputed company 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 [email protected] or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. reputed company reputed company individuals must be reputed company to reputed company the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions of their job, absent undue hardship. Pre-Employment Screening reputed company 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 reputed company 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. reputed company 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 reputed company appointments and reputed company 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, reputed company, 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 reputed company 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 reputed company 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 reputed company job titles without regard to race, ethnicity, reputed company, national reputed company, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Apply To This Job