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

boonlab.wustl.edu

Base: $22.78 - $34.21 ph; bonus/equity: not specif...
Fully remote
Pre-certification process
Insurance eligibility verification
Authorization documentation in epic
The Pre-certification Coordinator II position at Washington University in St. Louis is a remote role focused on managing complex pre-certifications for oncology and non-oncology drugs. The ideal candidate will have experience in medical billing, health information management, or pre-certification processes, alongside strong communication and organizational 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.
  • The position requires documenting all pertinent authorization information in Epic and communicating with clinical staff and providers in a timely and effective manner.
  • Washington University in St. Louis offers competitive benefits including up to 22 days of vacation, health insurance, retirement savings plans, wellness programs, family care resources, and tuition coverage.

Matching Summary

Match Score: 85

The Pre-certification Coordinator II position at Washington University in St. Louis is a remote role focused on managing complex pre-certifications for oncology and non-oncology drugs. The ideal candidate will have experience in medical billing, health information management, or pre-certification processes, alongside strong communication and organizational skills.

Salary

Base: $22.78 - $34.21 per hour; Bonus/Equity: Not specified; Benefits: Competitive health insurance, retirement plan, vacation, holidays, and wellness programs

Skills & Requirements

Must-have

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

Nice-to-have

  • knowledge of insurance terminology
  • experience with managed care plans
  • organizational and multitasking skills
  • interpersonal communication skills
  • experience with medical coding software
  • patient and family communication

Key Requirements

  • High school diploma or equivalent
  • 3 years pre-certification or related experience
  • Preferred associate degree
  • Preferred CPC or RHIT certification
  • Experience with WashU insurance database
  • No driver's license required

Work Rights

Not specified

Tailored Resume

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