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

pathaklab.wustl.edu

Unknown
Base: $22.78 - $34.21 ph; bonus/equity: not specif...
Pre-certification process management
Insurance eligibility verification
Authorization documentation in epic
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

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 involves completing authorizations, re-checking insurance eligibility, documenting all authorization information in Epic, and collaborating with clinical staff and providers in a timely manner.
  • Employees receive competitive health insurance, retirement savings plans, wellness programs, family care resources, and tuition coverage benefits.

Matching 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.

Salary

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

Skills & Requirements

Must-have

  • pre-certification process management
  • insurance eligibility verification
  • authorization documentation in Epic
  • communication with clinical staff
  • handling denials and appeals

Nice-to-have

  • knowledge of WashU insurance database
  • experience with managed care plans
  • organizational and multitasking skills
  • interpersonal communication
  • working in fast-paced environments

Key Requirements

  • High school diploma or equivalent
  • 3 years clinical office or pre-certification experience
  • Preferred associate degree or some college
  • Preferred CPC or RHIT certification
  • Experience with medical billing and health information management

Work Rights

Not specified

Tailored Resume

Cover Letter