Washington University in St. Louis
Location
Creve Coeur, Missouri
Salary
$21 - $31 / HOUR
Coordinates pre-certification and benefit verification for medical and surgical procedures to maximize reimbursement. Manages the department faculty's surgery schedule and maintains detailed logs of all pre-certification processes.
Requires a high school diploma and at least two years of experience in a medical office setting. An associate degree and certifications such as CPC or RHIT are preferred.
Scheduled Hours 40
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.
Job Description: Primary
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. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions: Normal working environment. Patient care setting. Physical Effort: Typically sitting at desk or table. Repetitive wrist, hand or finger movement.
Education: Associate degree Certifications/Professional Licenses: 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 unless stated elsewhere in the job posting.
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