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. Primary Duties & 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. 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 all 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: No specific certification is required for this position. Work Experience: Medical Office Setting (3 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 able to perform duties in a manner consistent with our core mission and guiding principles. Preferred Qualifications: Education: Associate degree. Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Work Experience: No additional work experience beyond what is stated in the Required Qualifications section. Skills: Communication, External Customers, Insurance, Internal Customers, Interpersonal Communication, Managed Care, Medical Insurance Coding, Organizing, Third Party Payers.
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