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Washington University of St. Louis Pre-Certification Coordinator - Internal Medicine - 51373 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 Internal Medicine. The position is located at 700 Rosedale suite 1570. 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 facilities predetermination process. 2. Contacts appropriate insurance companies for benefit verification and pre-certification of procedures and testing. Supplies all documentation required during pre-certification process to insurance companies. 3. Documents when pre-certification is received from insurance companies and maintains open communication with physicians and their assistants regarding concerns or when physician involvement in needed. 4. Maintains precertification template in patient chart, if applicable. Notifies hospital Utilization/Billing Department of pre-certification. 5. Update patient account with recent demographic information and insurance eligibility, when applicable. Required Qualifications High School diploma or equivalent High School certification three - five years experience in an medical office setting. Preferred Qualifications * Pre-certification experience. * Some college or Associates degree. * RHIT and/or CPC certification, coding experience. * Excellent communication, interpersonal and organizational skills required. * 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. * Applicant must have a thorough understanding of both Washington University Insurance database and insurance terminology. 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 - Internal Medicine - 51373 Job ID: 51373 Location: Medical School Full/Part Time: Full-Time Regular/Temporary: Regular

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