Pre-Certification Coordinator (Remote) - Orthopedic Surgery
Washington University in St. Louis
Location: Jefferson City, Missouri
Internal Number: JR68822
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.
Department of Orthopedic Surgery Mission: The mission of the Department of Orthopedic Surgery at Washington University School of Medicine is to have a national and international impact on orthopedics through excellence in clinical care, education, research and leadership. Our vision is to redefine excellence in the field of Orthopedic Surgery and Rehabilitation. Our responsibility to our local, national and international communities has three parts: 1) serve our community through excellence in clinical orthopedic care; 2) provide outstanding musculoskeletal education and training in an inclusive and equitable environment; 3) transform the future of orthopedics through research discovery and innovation.
Department of Orthopedic Surgery Overview by the Numbers: As a national leader in orthopedic care delivery, research and education, Washington Universityâ™s Department of Orthopedic Surgery guides the way in advanced musculoskeletal treatment and technology, providing trusted care for patients of all ages. With over 80 clinical providers across nine St. Louis-area locations, expert bone, muscle and joint care is always within reach. WashU Orthopedics is also a top orthopedic research program, with ten dedicated research faculty and seven physician scientists. By the numbers, the Department is home to over 500 employees, 11 orthopedic subspecialties, 71 clinical faculty, 10 research faculty, 40 surgical residents, 13 physiatry residents and 18 fellows. WashU Orthopedics is also proud to nationally rank #3 in NIH funding, #2 for residency training, #7 for pediatric orthopedics and #31 for adult orthopedics.
Primary Duties & Responsibilities
Initiates and facilitates predetermination process.
Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures; notifies financial counselor for prepayment of un-coded services.
Supplies all documentation required during pre-certification process to insurance companies.
Maintains daily surgery/procedure schedule for department faculty; maintains open communication with physicians and their assistants regarding their schedules.
Maintains written log of all pre-certifications in process; notifies hospital utilization/billing department of pre-certification.
Documents when pre-certification is received from insurance companies.
Some college or Associate degree.
RHIT and/or CPC certification, coding experience.
Excellent communication, interpersonal, and organizational skills requires.
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.
High school diploma or equivalent high school certification.
Three to five years of experience in a medical office setting.
$19.77 - $29.64 / HourlyThe 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.
All 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.
Washington University in St. Louis is committed to providing a comprehensive and competitive benefits package to our employees. Benefits eligibility is subject to employment status, full-time equivalent (FTE) workload, and weekly standard hours. Please visit our website at https://hr.wustl.edu/benefits/ to view a summary of benefits.
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the Universityâ™s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment â“ fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
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Washington University in St. Louis, a medium-sized, independent university, is dedicated to challenging its faculty and students alike to seek new knowledge and greater understanding of an ever-changing, multicultural world. The University offers more than 90 programs and almost 1,500 courses leading to bachelor's, master's and doctoral degrees in a broad spectrum of traditional and interdisciplinary fields, with additional opportunities for minor concentrations and individualized programs. The faculty is composed of scholars, scientists, artists and members of the learned professions. They serve society by teaching; by adding to the store of human art, creativity, understanding, and wisdom; and by providing direct services, such as health care.