Pre-certification Coordinator Ii (remote) - Business Office - Medicine

fostonlab.wustl.edu

Base: $22.78 - $34.21 / hourly; bonus/equity: not ...
Remote
Pre-certification processing
Insurance eligibility verification
Authorization documentation in epic
The Pre-certification Coordinator II position at Washington University in St. Louis involves managing complex pre-certifications for oncology and non-oncology drugs, ensuring accurate documentation and communication with clinical staff. The role requires at least three years of relevant experience and strong organizational and communication skills, offering a competitive salary and a range of employee benefits

Job Summary

  • This advanced level Pre-certification Coordinator specializes in complex pre-certifications for high dollar oncology and/or non-oncology drugs to prevent controllable losses for the Department.
  • The position requires reading and analyzing therapy and treatment plans, drug protocols, clinical documentation, payer policies, and patient benefits to complete the authorization process.
  • WashU provides competitive health insurance, retirement savings plans, wellness programs, family care resources, and tuition coverage benefits.

Matching Summary

Match Score: 85

The Pre-certification Coordinator II position at Washington University in St. Louis involves managing complex pre-certifications for oncology and non-oncology drugs, ensuring accurate documentation and communication with clinical staff. The role requires at least three years of relevant experience and strong organizational and communication skills, offering a competitive salary and a range of employee benefits.

Salary

Base: $22.78 - $34.21 / Hourly; Bonus/Equity: Not specified; Benefits: Competitive health insurance, retirement plan, wellness programs, family care leave, tuition coverage

Skills & Requirements

Must-have

  • pre-certification processing
  • insurance eligibility verification
  • authorization documentation in Epic
  • communication with clinical staff
  • insurance claim processing software

Nice-to-have

  • excellent interpersonal skills
  • ability to multitask in fast-paced environment
  • organizational savvy
  • experience with managed care plans
  • patient and family communication

Key Requirements

  • High school diploma or equivalent
  • 3 years experience in Clinical Office, Medical Billing, HIM, or Pre-Certification
  • Preferred associate degree
  • Preferred CPC or RHIT certification

Work Rights

Not specified

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