Pre-Certification Coordinator II - Pediatric Endocrinology

Position Summary The position 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. Scheduled Hours 40 hours per week. Primary Duties & Responsibilities Initiate and facilitate prior authorization process. Contact appropriate insurance companies for benefit verification and pre‑certification of surgical and nonsurgical procedures, outpatient testing, and medications; notify financial counselor for pre‑payment of un‑coded services. Supply all documentation required during pre‑certification process to insurance companies. Maintain written log of all pre‑certifications in process; notify hospital utilization/billing department of pre‑certification. Document when pre‑certification is received from insurance companies. Perform other duties as assigned. Working Conditions Normal working environment. Non‑patient facing. Physical Effort Typically sitting at a desk or table. Repetitive wrist, hand or finger movement. Equipment Office equipment. Education High school diploma or equivalent high school certification or combination of education and/or experience. Certifications / Professional Licenses No specific certification or professional license is required for this position. Work Experience Clinical Office, Medical Billing, Health Information Management (HIM), or Pre‑Certification (3 years). Skills Communication, Detail‑Oriented, Epic EHR, Fast‑Paced Environments, HIPAA, Insurance Claim Processing Software, Insurance Precertification, Insurance Terminology, Interpersonal Communication, Medical Coding Software, Multitasking, Organizational Savvy, Prioritization. Driver's License A driver's license is not required for this position. Preferred Qualifications Associate degree. Preferred Certifications / Licenses Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA). Grade

C09‑H

Salary Range $23.63 – $35.49 per hour. Benefits Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Free Metro transit U‑Pass for eligible employees. Defined contribution (403(b)) retirement savings plan with employee and university contributions starting at 7%. Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program, financial resources, access to dietitians. 4 weeks of caregiver leave to bond with your new child; family care resources for continued childcare needs; adult care coverage. WashU covers 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. Equal Employment Opportunity Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. #J-18808-Ljbffr Washington University in St. Louis