Join to apply for the Pre-Certification Coordinator I (Hybrid) - Surgery role at Washington University in St. Louis 5 days ago Be among the first 25 applicants Position Summary Performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with third‑party payers. Primary Duties & Responsibilities Initiates and facilitates pre‑determination process. Contacts appropriate insurance companies for benefit verification and pre‑certification of surgical and nonsurgical procedures; notifies financial counselor for pre‑payment of un‑coded services. Supplies all documentation required during pre‑certification process to insurance companies. Maintains daily surgery/procedure schedule for department faculty; maintains open communication with physicians and their assistants regarding their schedules. Maintains written log of all pre‑certifications in process; notifies hospital utilization/billing department of pre‑certification. Documents when pre‑certification is received from insurance companies. Performs other duties as assigned. Working Conditions Job Location/Working Conditions: Normal working environment. Patient care setting. Physical Effort Typically sitting at desk or table. Repetitive wrist, hand or finger movement. Equipment Office equipment. Education Required Qualifications High school diploma or equivalent high school certification or combination of education and/or experience. Certifications/Professional Licenses No specific certification/professional license is required for this position. Work Experience Medical Office Setting (2 Years) Skills Not Applicable Driver's License A driver's license is not required for this position. Preferred Qualifications Associate degree Certifications/Professional Licenses Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA) Work Experience No additional work experience unless stated elsewhere in the job posting. Skills Communication External Customers Insurance Internal Customers Interpersonal Communication Managed Care Medical Insurance Coding Organizing Third Party Payers Grade
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