Pre-certification Coordinator (remote) - Department Of Medicine - Business Office

Washington University in St. Louis

Remote, US
Base: $22.78 - $34.21 / hourly; bonus/equity: not ...
Fully remote
Analyze therapy and treatment plans
Document authorization information in epic
Communicate with clinical staff and providers
Washington University in St. Louis is seeking a remote Pre-certification Coordinator to handle complex pre-certifications for oncology and non-oncology drugs. The ideal candidate will have at least three years of relevant experience, strong communication skills, and familiarity with insurance processes

Job Summary

  • This advanced level Pre-certification Coordinator specializes in complex pre-certifications for high dollar oncology and/or non-oncology drugs.
  • The position may also perform re-checks of insurance eligibility and verify authorization information for each service.
  • WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.

Matching Summary

Match Score: 85

Washington University in St. Louis is seeking a remote Pre-certification Coordinator to handle complex pre-certifications for oncology and non-oncology drugs. The ideal candidate will have at least three years of relevant experience, strong communication skills, and familiarity with insurance processes.

Salary

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

Skills & Requirements

Must-have

  • Analyze therapy and treatment plans
  • Document authorization information in Epic
  • Communicate with clinical staff and providers
  • Manage payer authorization process
  • Verify insurance eligibility and authorization

Nice-to-have

  • Work with internal and external customers
  • Experience with managed care plans
  • Thorough understanding of insurance terminology
  • Ability to work in fast-paced environments

Key Requirements

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

Work Rights

Not specified

Tailored Resume

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