Pre-certification Coordinator Ii (remote) - Orthopedic Surgery

Washington University in St. Louis

Remote, US
Base: $22.78 - $34.21 / hourly; bonus/equity: not ...
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Complex pre-certifications
Analyze therapy and treatment plans
Document authorization information in epic
** Washington University in St. Louis is seeking a remote Pre-certification Coordinator II specializing in complex pre-certifications for orthopedic surgery. The ideal candidate will manage insurance authorizations and work closely with clinical staff to ensure seamless operations while benefiting from a competitive salary and comprehensive benefits. **

Job Summary

  • Completes pre-certifications for complex and specialized services as indicated on therapy and treatment plans.
  • Works with clinical staff and providers on add-ons, denials and peer to peers through to resolution in a timely fashion.
  • WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.

Matching Summary

Match Score: 75

** Washington University in St. Louis is seeking a remote Pre-certification Coordinator II specializing in complex pre-certifications for orthopedic surgery. The ideal candidate will manage insurance authorizations and work closely with clinical staff to ensure seamless operations while benefiting from a competitive salary and comprehensive benefits. **

Salary

Base: $22.78 - $34.21 / Hourly; Bonus/Equity: Not specified; Benefits: Competitive health insurance packages, free Metro transit U-Pass, 403(b) Retirement Savings Plan

Skills & Requirements

Must-have

  • complex pre-certifications
  • analyze therapy and treatment plans
  • document authorization information in EPIC
  • communicate with clinical staff
  • resolve add-ons, denials, peer to peers

Nice-to-have

  • highly motivated individuals
  • consistent with core mission
  • fostering respect for all
  • inclusive environment

Key Requirements

  • High school diploma or equivalent
  • 3 Years Clinical Office, Medical Billing, Health Information Management (HIM), Or Pre-Certification
  • Associate degree preferred
  • Certified Professional Coder (CPC) preferred
  • Registered Health Information Technician (RHIT) preferred

Work Rights

Not specified

Tailored Resume

Cover Letter