Lead Pre-Certification Coordinator – Department of Medicine

Job not on LinkedIn

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Leads the pre-certification section 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 all documentation required during pre-certification process to insurance companies • Documents when pre-certification is received from insurance companies and maintains open communication with physicians and their assistants regarding concerns or when physician involvement is needed • Provides training and education to staff • Assists staff with complex cases avoiding denials and physician peer to pears • Reviews denials to see if there is a potential for re-consideration • Provides feedback to management regarding staffing concerns and process improvement

🎯 Requirements

• High school diploma or equivalent high school certification or combination of education and/or experience • Medical Billing/Coding (3 Years) • Previous pre-certification experience • Some college or an associate’s degree preferred • Coding experience preferred • Thorough understanding of Washington University FSC database and insurance terminology • Experience interacting with managed care plans, insurance companies, and third-party payers • Ability to work with internal and external customers, including physicians, nurses, patients, and families • Certified Professional Coder (CPC) or Registered Health Information Technician (RHIT) preferred

🏖️ 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 new child • Family care resources for continued childcare needs • Tuition coverage for employees and family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us