Missouri Professional Services Jobs

Jobs.mo.gov mobile logo

Job Information

Washington University of St. Louis Pre-Certification Coordinator - Surgery Business Services Organization - 51892 in St. Louis, Missouri

Job Type/Schedule This position is full-time and works approximately 40 hours per week. Department Name/Job Location This position is in the Department of Surgery Business Services Organization. The position is located at the Mid Campus Center. This position is for the Medical School Campus. Essential Functions POSITION SUMMARY: Position performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with third-party payers. PRIMARY DUTIES AND RESPONSIBILITIES: 1. Initiates and facilitates predetermination process. 2. Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures; notifies financial counselor for prepayment of uncoded services. 3. Supplies all documentation required during pre-certification process to insurance companies. 4. Maintains daily surgery/procedure schedule for department faculty; maintains open communication with physicians and their assistants regarding their schedules. 5. Maintains written log of all pre-certifications in process; notifies hospital utilization/billing department of pre-certification. 6. Documents when pre-certification is received from insurance companies. Required Qualifications * High school diploma or equivalent high school certification. * Three to five years of experience in a medical office setting. Preferred Qualifications * Some college or associate degree. * RHIT and/or CPC certification. * Coding experience. * Excellent communication, interpersonal, and organizational skills. * Experience interacting with managed care plans, insurance companies, and third-party payers. * Ability to work with internal and external customers, including physicians, nurses, patients, and families. Salary Range The hiring range for this position is $18.81 - $23.52 per hour. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. Current employees applying for a new position within the university may be subject to this requirement. The screenings will include a criminal background check and, as applicable for the position, other background checks, drug screen, employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits This position is eligible for full-time benefits. Please click the following link to view a summary of benefits: https://wustl.box.com/s/8wkhs25yssf0775x9d6nd6vqa7obpth7. EOE Statement Washington University is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, genetic information, disability, or protected veteran status. Job Title: Pre-Certification Coordinator - Surgery Business Services Organization - 51892 Job ID: 51892 Location: Medical School Full/Part Time: Full-Time Regular/Temporary: Regular

DirectEmployers