Location:

\nMedical Lake, WASHINGTON\n

Job Type:

\nFullTime\nScheduled Hours\n40\nPosition Summary\nPosition performs prior-authorization services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with payers.\nJob Description\n

Primary Duties & Responsibilities:

\nInitiates and facilitates prior authorization process.\nContacts appropriate insurance companies for benefit verification and pre-certification of surgical and non-surgical procedures, outpatient testing, and medications; notifies financial counselor for pre-payment of un-coded services.\nSupplies all documentation required during pre-certification process to insurance companies.\nMaintains written log of all pre-certifications in process; notifies hospital utilization/billing department of pre-certification.\nDocuments when pre-certification is received from insurance companies.\nPerforms other duties as assigned.\n

Working Conditions:

Job Location/Working Conditions:

\nNormal working environment.\nNon-patient facing.\n

Physical Effort:

\nTypically sitting at desk or table.\nRepetitive wrist, hand or finger movement.\n

Equipment:

\nOffice equipment.\nThe above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.\nRequired Qualifications\n

Education:

\nHigh school diploma or equivalent high school certification or combination of education and/or experience.\n

Certifications/Professional Licenses:

\nNo specific certification/professional license is required for this position.\n

Work Experience:

\nClinical Office, Medical Billing, Health Information Management (Him), Or Pre-Certification (3 Years)\n

Skills:

\nNot Applicable\n

Driver's License:

\nA driver's license is not required for this position.\nMore About This Job\nWashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.\nPreferred Qualifications\n

Education:

\nAssociate degree\n

Certifications/Professional Licenses:

\nCertified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)\n

Work Experience:

\nNo additional work experience unless stated elsewhere in the job posting.\n

Skills:

\nCommunication, Detail-Oriented, Epic EHR, Fast-Paced Environments, Health Insurance Portability & Accountability Act (HIPAA), Insurance Claim Processing Software, Insurance Precertification, Insurance Terminology, Interpersonal Communication, Medical Coding Software, Multitasking, Organizational Savvy, Prioritization\nGrade\nC09-H\nSalary Range\n$22.78 - $34.21 / Hourly\nThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.\nQuestions\nFor frequently asked questions about the application process, please refer to our External Applicant FAQ .\nAccommodation\nIf you are unable to use our online application system and would like an accommodation, please email CandidateQuestionswustl or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.\nAll qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.\nPre-Employment Screening\nAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an 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.\nBenefits Statement\nPersonal\nUp to 22 days of vacation, 10 recognized holidays, and sick time.\nCompetitive health insurance packages with priority appointments and lower copays/coinsurance.\nTake advantage of our free Metro transit U-Pass for eligible employees.\nWashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.\nWellness\nWellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!\nFamily\nWe offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? 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Pre-Certification Coordinator II - Pediatric Endocrinology