Pre-Certification Coordinator I

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WashU IT

WebsiteLinkedInAll Job Openings

501 - 1000 employees

📚 Education

🏢 Enterprise

☁️ SaaS

Education • Enterprise • SaaS

WashU IT is the information technology department of Washington University in St. Louis, providing essential IT services and support for the university's students, faculty, and staff. The department is integral to facilitating the university’s academic, research, and administrative functions, ensuring that technological resources and solutions are efficiently delivered and maintained across the university’s campuses. WashU IT also plays a crucial role in helping the university confront complex technological challenges and enhance its operational capabilities.

📋 Description

• Performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished efficiently • Initiates and facilitates pre-determination process • Contacts insurance companies for benefit verification and pre-certification of procedures • Supplies documentation required during pre-certification process to insurance companies • Maintains daily surgery/procedure schedule for department faculty • Maintains communication with physicians regarding their schedules • Maintains written log of all pre-certifications in process • Notifies billing department of pre-certification • Documents when pre-certification is received from insurance companies • Performs other duties as assigned

🎯 Requirements

• High school diploma or equivalent certification or combination of education and/or experience • 2 years of experience in Medical Office Setting • Communication skills • External Customers skills • Insurance knowledge • Internal Customers skills • Interpersonal Communication skills • Managed Care experience • Medical Insurance Coding skills • Organizing skills • Understanding of Third Party Payers

🏖️ Benefits

• Up to 22 days of vacation • 10 recognized holidays • Sick time • Competitive health insurance packages with priority appointments and lower copays/coinsurance • Free Metro transit U-Pass for eligible employees • Defined contribution (403(b)) Retirement Savings Plan with 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 a new child • Family care resources for continued childcare needs • Covers cost of tuition for employees and their families, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years