Pre-Certification Coordinator I – Pediatrics Central Administration

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

📋 Description

• Initiate and manage the pre-determination process.

• Communicate with insurance providers for benefit verification and pre-certification of both surgical and nonsurgical procedures.

• Inform the financial counselor for the pre-payment of services that are not coded.

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

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

• Maintain consistent communication with physicians and their assistants regarding scheduling.

• Keep a written record of pre-certifications that are currently in progress.

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

• Document the receipt of pre-certifications from insurance companies.

• Carry out additional duties as assigned.

⛳️ Requirements

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

• Two years of experience in a medical office environment.

• No specific certification or professional license is mandated.

• An associate degree is preferred.

• Certified Professional Coder (CPC) certification is preferred.

• Registered Health Information Technician (RHIT) certification is preferred.

• Skills should include effective communication, external customer service, insurance knowledge, internal customer relations, interpersonal communication, managed care, medical insurance coding, organization, and familiarity with third-party payers.

• A driver's license is not necessary.

🏝️ Benefits

• Up to 22 days of vacation.

• 10 recognized holidays.

• Sick time.

• Competitive health insurance plans with priority appointments and reduced copays/coinsurance.

• Free Metro transit U-Pass for eligible employees.

• Defined contribution (403(b)) Retirement Savings Plan with employee and university contributions starting 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 employees and their families, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years.