Pre-Certification Coordinator II

Job not on LinkedIn

🕒 June 17

🇺🇸 United States – Remote

💵 $22 - $34 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of WashU IT

WashU IT

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

• Completes pre-certifications for complex and specialized services • Reads and analyzes therapy and treatment plans, drug protocols, and clinical documentation • Completes the authorization process with the payer and in EPIC • Completes rechecks on existing pre-certifications • Works with clinical staff and providers on add-ons, denials and peer resolve in a timely manner

🎯 Requirements

• High school diploma or equivalent • 3 years in Clinical Office, Medical Billing, Health Information Management, or Pre-Certification • Certified Professional Coder (CPC) preferred • Communication • Detail-Oriented • Epic EHR • Insurance Claim Processing Software • Insurance Precertification • Insurance Terminology • Managed Care

🏖️ 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 • Wellness challenges, annual health screenings, mental health resources, mindfulness programs, employee assistance program (EAP) • Family care resources and caregiver leave

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