Pre-Certification Coordinator II - Pediatric Endocrinology
$23.63 - $35.49 per hourWashington University in St. Louis
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- ## Pre-Certification Coordinator II - Pediatric EndocrinologyApplyremote type: On Campus/Onsitelocations: Washington University Medical Campustime type: Full timeposted on: Posted 10 Days Agojob requisition id: JR95097# **Scheduled Hours**40# **Position Summary**Position...SuggestedWork experience placementWork at office
$20.57 - $30.84 per hour
...facilitates the predetermination process. Contacts appropriate insurance, DME, and pharmacy companies for benefit verification and pre‑certification of surgical/nonsurgical procedures, medications, and laboratory tests. Supplies all documentation required during the pre‑...SuggestedHourly payWork experience placementWork at office- Washington University in St. Louis is seeking a Pre-Certification Coordinator II for Pediatric Endocrinology. This full-time position is responsible for ensuring efficient prior authorization services to maximize reimbursement through necessary interactions with insurance...SuggestedFull timeWork experience placement
$20.57 - $30.84 per hour
...professional to streamline medical/surgical and diagnostic services with third-party payers. Responsibilities include managing pre-certification processes and maintaining surgical schedules. Applicants should possess a high school diploma and 3 years of medical office...SuggestedHourly payWork at office- Washington University in St. Louis is seeking a staff member to handle prior authorization for medical, surgical, and diagnostic services. The role ensures efficient service delivery and maximizes reimbursement via payer interactions. 40 hours per week; non‑patient facing...SuggestedWork at office
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$21.33 - $31.98 per hour
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...The Member and Clinician Support team is responsible for coordination of Pre-Visit assessments before HouseCalls Visits to ensure accurate... ...to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as...Hourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaImmediate startRemote work- Washington University in St. Louis is seeking a program coordinator to support the division's Fellowship Program in Pediatric Endocrinology. The role coordinates calendars, travel, and correspondence for the Program Director and Assistant Director, while maintaining CVs...
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...life professional for the position of Coordinator, Education & Compliance. The Division of... ...may substitute for minimum education. Certifications/Professional Licenses: No specific certification... ...of their job, absent undue hardship. Pre-Employment Screening: All external...Work experience placementWork at officeWeekend workAfternoon shift- UnitedHealth Group is seeking a Remote Pre-Visit Coordinator to join the Member and Clinician Support team. You will conduct telephonic outreach, document medical history, and ensure member access to a PCP from home. The role operates in a fast-paced call center with a...Remote jobShift work
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- ...shift position working Monday-Friday from 7:30-4:00PM. The role requires one of referral coordinator experience. Job Summary: Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. Job Responsibilities and...Hourly payFull timeWork experience placementMonday to FridayFlexible hoursShift workDay shift
- ...Intake Coordinator Full time 40 hours a week Monday through Friday 8 am to 4:30 pm... ...including skilled nursing services, adult and pediatric hospice and supportive care,... ...Verifies insurance benefits, obtains pre-authorizations as necessary, assists billing...Full timeTemporary workWork at officeMonday to FridayFlexible hoursWeekend work
- ...enhance residents’ lives through engagement and programming. Coordinate education, training, and mentoring opportunities for Life Enrichment... ..., or a related field preferred. State-required license or certification as a Life Enrichment/Activity Professional preferred. Self-...Full timeWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayNight shiftAfternoon shift
$26 per hour
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