Skip to content
Pre-Certification Coordinator – Pediatric Genetic Medicine
| Company | Wash U |
|---|
| Location | St. Louis, MO, USA |
|---|
| Salary | $20.57 – $30.84 |
|---|
| Type | Full-Time |
|---|
| Degrees | Associate’s |
|---|
| Experience Level | Mid Level |
|---|
Requirements
- High school diploma or equivalent high school certification or combination of education and/or experience
- Medical Office Setting (3 Years)
Responsibilities
- Initiates and facilitates pre-determination process
- Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures; notifies financial counselor for pre-payment 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.
Preferred Qualifications
- Associate degree
- Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC)
- Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA)
- Communication
- External Customers
- Insurance
- Internal Customers
- Interpersonal Communication
- Managed Care
- Medical Insurance Coding
- Organizing
- Third Party Payers
