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.
This position is full-time and works approximately 40 hours per week.
Department Name/Job Location:
This position is in the Department of Otolaryngology. The position is located at Center for Advances Medicine (CAM).
Position communicates regularly with third party payers to ensure medical services get billed timely and accurately in a manner to maximize reimbursement. Position will also communicate with physicians, nurses, OR, CPAP and others to efficiently schedule surgical services.
PRIMARY DUTIES AND RESPONSIBILITIES:
Tasks hospital OR to book surgery for assigned physicians upon receiving completed surgery scheduling sheet from physician.
Tasks CPAP for patient appointments when needed prior to surgery.
Enters orders for Covid Testing and schedules post-op appointments.
Communicates to physician and staff any roadblocks encountered during the pre-certification/scheduling process.
Maintains daily surgery/procedure schedule for assigned providers on their personal Outlook calendar. Maintains open communication with physicians and their assistants regarding their schedules through Epic in-basket.
Maintains a shared calendar of all pre-certifications/surgeries in process. Notifies hospital Utilization/Billing Department of pre-certification.
Initiates and facilities predetermination process.
Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and non-surgical procedures.
Supplies all documentation required during pre-certification process to insurance companies.
Documents pre-certification received from insurance companies and informs physicians and their assistants via Allscripts tasking.
Enters surgery appointment in Epic Scheduling and the provider’s personal calendar.
Notifies financial counselor for prepayment of surgical services.
High school diploma or equivalent high school certification.
Three to five years of experience in a medical office setting.
Medical precertification experience.
Excellent communication, interpersonal and organizational skills.
Ability to communicate clearly with co-workers/manager and maintain quality working relationships.
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.
Knowledge of CPT codes and ICD-10 codes.
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.