Washington University is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, genetic information, disability, or protected veteran status.
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 AND 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 uncoded 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.
High school diploma or equivalent high school certification.
Three to five years of experience in a medical office setting.
This position is full-time and works approximately 40 hours per week.
Department Name/Job Location:
This position is in the Department of Ophthalmology. The position is located at the Center for Outpatient Health. This position is for the Medical School Campus.
Experience in ophthalmology clinical practice.
Familiar with Microsoft Office software.
Some college or Associate degree;
RHIT and/or CPC certification.
Excellent communication, interpersonal, and organizational skills.
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.
The hiring range for this position is $18.81 - $23.52 per hour.
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. Current employees applying for a new position within the university may be subject to this requirement. The screenings will include a criminal background check and, as applicable for the position, other background checks, drug screen, 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.
Please attach a copy of your most current signed performance evaluation (completed within the last 18 months) to your online account. If you have not received a performance evaluation, you may provide two current signed letters of recommendation (written within the last 18 months), preferably to include one letter from either a current or recent former supervisor. To attach these documents, go to: My Career Tools, Add Attachment, Attachment Type – Performance Reviews or Letters of Recommendation.
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.