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

livingearthcollaborative.wustl.edu

Base: $22.78 - $34.21 / hourly; bonus/equity: not ...
Fully remote
Pre-certification for specialized services
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 compliance with insurance requirements and documentation in EPIC. The role emphasizes effective communication with clinical staff and providers while maintaining attention to detail in a fast-paced environment

Job Summary

  • This advanced level Pre-certification Coordinator specializes in complex pre-certifications for high dollar oncology and/or non-oncology drugs as indicated on therapy and treatment plans to prevent controllable losses/write offs for the Department.
  • The position involves completing the authorization process with payers and in EPIC, verifying insurance eligibility, and working with clinical staff and providers on add-ons, denials, and peer to peers through to resolution in a timely fashion.
  • WashU offers competitive health insurance packages, a defined contribution Retirement Savings Plan, 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 compliance with insurance requirements and documentation in EPIC. The role emphasizes effective communication with clinical staff and providers while maintaining attention to detail in a fast-paced environment.

Salary

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

Skills & Requirements

Must-have

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

Nice-to-have

  • coding experience
  • managed care interaction
  • organizational skills
  • fast paced environment
  • patient and family communication
  • multitasking ability

Key Requirements

  • High school diploma or equivalent
  • 3 years clinical office or pre-certification experience
  • Preferred associate degree
  • Preferred CPC or RHIT certification

Work Rights

Not specified

Tailored Resume

Cover Letter