Primary Duties & Responsibilities:
Initiates and facilitates predetermination process.
Contacts appropriate insurance/DME/pharmacy companies for benefit verification and pre-certification of surgical/nonsurgical procedures, medications, and laboratory tests.
Supplies all documentation required during pre-certification process.
M a i nta i ns da il y sur g er y / p r oc e d u r e sch e d ul e f or d e p a r t m e n t f ac u l t y ; m a i nta i ns o p en co m m u ni cati o n w i t h ph y s i c i a n s a n d t h ei r a s s i s t a n t s r e g a r d i ng t h e i r sch e d ul es.
Maintains appropriate documentation and tracking of all pre-certification requests.
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.
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.
Education:
High school diploma or equivalent high school certification or combination of education and/or experience.
Certifications:
Work Experience:
Skills:
Driver's License:
Education:
Associate degree
Certifications:
Work Experience:
Skills:
Communication, External Customers, Insurance, Internal Customers, Interpersonal Communication, Managed Care, Medical Insurance Coding, Organizing, Third Party Payers
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
For frequently asked questions about the application process, please refer to our External Applicant FAQ .
If you are unable to use our online application system and would like an accommodation, please email  CandidateQuestions@wustl.edu  or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Personal
Up to 22 days of vacation, 10 recognized holidays, and sick time.
Competitive health insurance packages with priority appointments and lower copays/coinsurance.
Take advantage of our free Metro transit U-Pass for eligible employees.
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? Weâ™ve got you covered.
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit:
About Washington University in St. Louis
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.
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