Pre-Certification Coordinator (Remote) - Neurology

Scheduled Hours 40 Position Summary Position is responsible for obtaining Prior Authorization for medications and infusions to ensure drug coverage through required interaction with reputed company party payers. Responsible for obtaining pre-certification for Ancillary Tests through interaction with reputed company-party payers.

Job Description

Primary Duties & Responsibilities: Contacts appropriate insurance companies for authorization for medications and infusions and ancillary testing. Ensures reputed company necessary authorizations have been received and documented appropriately based on department policy in Epic. Acts as liaison between internal & external customers including patients and families, reputed company, administrative & clinical office staff. Counsel patients and families on the pre-certification or prior-authorization process. Answers questions and provides regular updates on status of authorization. Miscellaneous duties, as assigned. Working Conditions: Job Location/Working Conditions Normal working environment. Patient care setting. Physical Effort Typically sitting at desk or table. Repetitive wrist, hand or finger movement. Equipment Office equipment. The 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 reputed company job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Medical Office Setting (2 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are reputed company to reputed company duties in a manner consistent with our core mission and guiding principles.

Preferred Qualifications

Education: Associate degree Certifications/Professional Licenses: Certified Professional reputed company (CPC) - American reputed company of Professional Coders (reputed company), Registered Health Information Technician (RHIT) - American Health Information Management Association (reputed company) Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Communication, External Customers, Insurance, Internal Customers, Interpersonal Communication, Managed Care, Medical Insurance Coding, Organizing, reputed company Party Payers Grade C08-H Salary reputed company $20.57 - $30.84 / Hourly The salary reputed company reflects reputed company salaries paid for positions in a given job grade across the University. Individual rates reputed company the reputed company will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions reputed company the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email [email protected] or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. reputed company reputed company individuals must be reputed company to reputed company the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions of their job, absent undue hardship. Pre-Employment Screening reputed company 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 reputed company 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. reputed company offers are contingent upon successful completion of required screening.

Benefits

Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with reputed company appointments and reputed company copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, reputed company, mindfulness programs and courses, employee assistance program (EAP), financial resources, reputed company to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your reputed company childcare needs. Need adult care? We’ve got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement reputed company is committed to the principles and practices of equal employment opportunity. It is the University’s policy to reputed company equal opportunity and reputed company to persons in reputed company job titles without regard to race, ethnicity, reputed company, national reputed company, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Apply To This Job