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

olinlinks.wustl.edu

Base: $22.78 - $34.21 / hourly; bonus/equity: not ...
Fully remote
Complex pre-certifications
Oncology and/or non-oncology drugs
Therapy and treatment plans
This remote position as a Pre-certification Coordinator II at Washington University in St. Louis focuses on managing complex pre-certifications for oncology and non-oncology drugs, ensuring timely communication and documentation with clinical staff and insurers. Candidates should have a background in clinical office settings, medical billing, or precertification, with strong organizational and communication skills

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.
  • Completes the authorization process with the payer and in EPIC.
  • 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

This remote position as a Pre-certification Coordinator II at Washington University in St. Louis focuses on managing complex pre-certifications for oncology and non-oncology drugs, ensuring timely communication and documentation with clinical staff and insurers. Candidates should have a background in clinical office settings, medical billing, or precertification, with strong organizational and communication skills.

Salary

Base: $22.78 - $34.21 / Hourly; Bonus/Equity: Not specified; Benefits: Competitive health insurance packages, 4 weeks caregiver leave, tuition coverage

Skills & Requirements

Must-have

  • complex pre-certifications
  • oncology and/or non-oncology drugs
  • therapy and treatment plans
  • payer policies and patient benefits
  • document authorization information in Epic
  • communicate with clinical staff and providers

Nice-to-have

  • detail oriented
  • work in a fast paced environment
  • interact with managed care plans
  • prioritize multiple tasks

Key Requirements

  • High school diploma or equivalent
  • 3 Years Clinical Office, Medical Billing, HIM, Or Pre-Certification
  • RHIT and/or CPC certification
  • Associate degree

Work Rights

Not specified

Tailored Resume

Cover Letter