预认证协调员 I - 放射科
Pre-Certification Coordinator I - Radiology
远程，美国
工作时间
40小时
职位概述
执行各种专业服务，确保医疗/手术和诊断/辅助服务高效完成，并通过与第三方付款人的必要互动最大化报销。
职位描述
主要职责与任务：
- 启动并促进预确定流程。
- 联系适当的保险公司进行保险福利验证和手术及非手术程序的预先认证；通知财务顾问对未编码服务进行预付款。
- 在预先认证过程中向保险公司提供所有所需文件。
- 维护部门教师的日常手术/程序日程；与医生及其助手保持开放沟通，了解他们的日程安排。
- 维护所有正在进行的预先认证的书面记录；通知医院使用/计费部门进行预先认证。
- 记录从保险公司收到的预先认证。
- 执行其他指派的任务。
工作条件：
工作地点/工作环境
- 正常的工作环境。
- 患者护理环境。
体力要求
- 通常坐在办公桌或桌子旁。
- 重复性的手腕、手或手指动作。
设备
· 办公设备。
以上陈述旨在描述分配到此职位的人所执行工作的总体性质和水平。它们不打算被解释为该职位人员所执行的所有工作职责的完整列表。管理层保留随时修订或修改职责的权利。
必备资格
教育：
高中文凭或同等高中证书，或教育和/或经验的组合。
认证/专业执照：
此职位不需要特定的认证/专业执照。
工作经验：
医疗办公室（2年）
技能：
不适用
驾照：
此职位不需要驾照。
关于这份工作
成功候选人应具有为手术和诊断测试获取保险授权和预确定的经验，获取初级保健医生（PCP）转诊授权，授权上诉和保险验证。
优先资格
教育：
副学士学位
认证/专业执照：
认证专业编码员（CPC）- 美国专业编码员协会（AAPC），注册健康编码员（RHC）等
查看英文原文
Location
Remote, USScheduled Hours
40Position Summary
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 Duties & Responsibilities:
- 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.
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.Required Qualifications
Education:
High school diploma or equivalent high school certification or combination of education and/or experience.Certifications/Professional Licenses:
No specific certification/professional license is required for this position.Work Experience:
Medical Office Setting (2 Years)Skills:
Not ApplicableDriver's License:
A driver's license is not required for this position.More About This Job
The successful candidate will have experience obtaining insurance authorizations and pre-determinations for surgical and diagnostic testing, obtaining PCP referral authorizations, authorization appeals, and insurance verifications.
Preferred Qualifications
Education:
Associate degreeCertifications/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.Skills:
Collaboration, Communication, Detail-Oriented, External Customers, HMOs, Insurance, Internal Customers, Interpersonal Communication, Managed Care, Medical Insurance Coding, Organizing, Prioritization, Teamwork, Third Party PayersGrade
C08-HSalary Range
$21.33 - $31.98 / HourlyThe 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.Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please 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.Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an 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.Benefits Statement
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? We’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:
EEO Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity or shared ancestry, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. As a federal contractor, the university maintains affirmative action programs to implement its equal employment opportunity policy for individuals with disabilities and protected veterans, in accordance with Section 503 of the Rehabilitation Act of 1973, as amended, and the Vietnam Era Veterans’ Readjustment Assistance Act of 1974 (VEVRAA), as amended.Originally posted on Himalayas