Pre-Certification Coordinator I
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Job Description
Pre-Certification Coordinator ensuring efficient processing of medical and surgical services at a leading university medical department. Engaging with insurance for verification and pre-certification tasks.
Responsibilities:
- 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
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