Pre-Certification Coordinator I

This is a fully remote position, open to applicants in United States.

📋 Description

• Initiate and oversee the pre-determination process.

• Communicate with insurance providers to verify benefits and pre-certify surgical and non-surgical procedures.

• Inform the financial counselor regarding the pre-payment of un-coded services.

• Provide necessary documentation to insurance companies during the pre-certification phase.

• Manage the daily surgery/procedure schedule for department faculty.

• Maintain effective communication with physicians and their assistants concerning schedules.

• Keep a written log of ongoing pre-certifications.

• Alert the hospital utilization/billing department about pre-certifications.

• Record the receipt of pre-certification from insurance companies.

⛳️ Requirements

• High school diploma or an equivalent certification, or a combination of education and/or experience.

• A minimum of 2 years of experience in a medical office environment.

• No specific certification or professional license is mandatory.

• An associate degree is preferred.

• Certification as a Professional Coder (CPC) and Registered Health Information Technician (RHIT) is preferred.

• Skills in communication, external customer relations, insurance processes, internal customer interactions, interpersonal communication, managed care, medical insurance coding, organization, and dealing with third-party payers.

• All external candidates receiving an offer must undergo pre-employment screening, which includes a criminal background check and any applicable additional checks.

🏝️ Benefits

• Up to 22 days of vacation.

• 10 recognized holidays.

• Sick time.

• Competitive health insurance packages that include priority appointments and reduced copays/coinsurance.

• Complimentary Metro transit U-Pass for qualifying employees.

• Defined contribution 403(b) Retirement Savings Plan, with university contributions beginning at 7%.

• Wellness challenges.

• Annual health screenings.

• Mental health resources.

• Mindfulness programs and courses.

• Employee assistance program (EAP).

• Financial resources.

• Access to dietitians.

• 4 weeks of caregiver leave to bond with your new child.

• Family care resources for ongoing childcare needs.

• Adult care resources.

• Tuition coverage for the employee and their family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years.