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

Washington University

St. Louis, US
Base: $22.78 - $34.21 / hourly; bonus/equity: not ...
Fully remote
Complex high dollar drug pre-certifications
Analyze therapy treatment plans
Document authorization information in epic
Washington University is seeking a remote Pre-certification Coordinator II to manage complex pre-certifications for high-cost oncology and non-oncology drugs. The role requires strong analytical skills and effective communication with clinical staff and insurance providers, along with a minimum of three years of relevant experience

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 is seeking a remote Pre-certification Coordinator II to manage complex pre-certifications for high-cost oncology and non-oncology drugs. The role requires strong analytical skills and effective communication with clinical staff and insurance providers, along with a minimum of three years of relevant experience.

Salary

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

Skills & Requirements

Must-have

  • complex high dollar drug pre-certifications
  • analyze therapy treatment plans
  • document authorization information in Epic
  • communicate with clinical staff and providers
  • resolve add-ons denials and peer to peers

Nice-to-have

  • understanding of WashU insurance database
  • interact with managed care plans
  • work with internal and external customers
  • ability to multitask

Key Requirements

  • High school diploma or equivalent
  • 3 Years 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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