AU, CA + 7 moreScheduled Hours
40Position Summary
Position is responsible for obtaining Prior Authorization for medications and infusions to ensure drug coverage through required interaction with third party payers. Responsible for obtaining pre-certification for Ancillary Tests through interaction with third-party payers.Job Description
Primary Duties & Responsibilities:
Contacts appropriate insurance companies for authorization for medications and infusions and ancillary testing.
Ensures all necessary authorizations have been received and documented appropriately based on department policy in Epic.
Acts as liaison between internal & external customers including patients and families, healthcare professionals, administrative & clinical office staff.
Counsel patients and families on the pre-certification or prior-authorization process. Answers questions and provides regular updates on status of authorization.
Miscellaneous 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.
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
WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.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:
Communication, External Customers, Insurance, Internal Customers, Interpersonal Communication, Managed Care, Medical Insurance Coding, Organizing, Third Party PayersGrade
C08-HSalary Range
$20.57 - $30.84 / 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 emailCandidateQuestions@wustl.eduor 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: https://hr.wustl.edu/benefits/
Canada
Germany
India
Ireland
New Zealand
South Africa
United Kingdom
United States