Key skills
Communication
About this role
Role Overview
- Completes pre-certifications for complex and specialized services as indicated on therapy and treatment plans
- Reads and analyzes therapy and treatment plans, drug protocols, and clinical documentation
- Completes authorization process with the payer and in EPIC
- Completes rechecks on existing pre-certifications by verifying insurance eligibility
- Works with clinical staff and providers on add-ons, denials and peer to peers through to resolution
- Performs other duties as assigned
Requirements
- High school diploma or equivalent high school certification or combination of education and/or experience
- 3 years experience in Clinical Office, Medical Billing, Health Information Management (Him), or Pre-Certification
- No specific certification/professional license required
- Communication skills
- Detail-oriented
- Proficient in Epic EHR
- Experience in Insurance Claim Processing Software
- Understanding of Insurance Terminology
- Ability to interact with all levels of management
Benefits
- Up to 22 days of vacation
- 10 recognized holidays
- Sick time
- Competitive health insurance packages with priority appointments and lower copays/coinsurance
- Free Metro transit U-Pass for eligible employees
- Defined contribution (403(b)) Retirement Savings Plan with university contributions starting at 7%
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs, and courses
- Employee assistance program (EAP)
- Financial resources
- Access to dietitians
- 4 weeks of caregiver leave to bond with your new child
- Tuition coverage for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.