Supervisor, Pre-Certification - Department of Surgery - 25650
Location: St. Louis Missouri
Description: Washington University in St. Louis is employing Supervisor, Pre-Certification - Department of Surgery - 25650 right now, this occupation will be placed in Missouri. More details about this occupation opportunity kindly read the description below. Job Type/Schedule
This position is full-time and works approximately 40 hours per week.
Depar! tment Name/Job Location
This position is in the Department of Surgery. This position is for the Medical School Campus.
Essential Functions
POSITION SUMMARY:
Position provides supervision and oversight of the day to day operations of the predetermination/precertification, and pre-service functions.
ESSENTIAL FUNCTIONS:
1. Develop, implement and ensure adherence to policy and procedures to optimize the pre certification process and minimize dollars lost to lack of pre certification, predeterminations, and pre-service
2. Directly interacts with patients to provide cost quotes and collect pre-surgery payments.
3. Works with faculty, clinical staff, and hospital staff to coordinate self pay package pricing and financial coordination plans for patients.
4. Monitors volumes through reporting and auditing to ensure appropriate staffing levels and quality of work. Adjust workload distributions as ne! eded.
5. Interacts with representatives of major thir! d-party carriers to resolve prior approval/pre-certification problems and discuss changes in third-party program requirements
6. Participates in selection process of new employees, training, supervising and evaluating employees; informs employees of changes in the department.
7. Provides education and training to the clinical staff regarding precertification, ordering of tests, and proper insurance assignment in the patient accounts system (GE/Allscripts).
Required Qualifications
Equivalent of an Associate’s degree with previous supervisory experience.
Preferred Qualifications
Excellent communication, interpersonal and organizational skills required.
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.
Precertification and/or medical management exper! ience is preferred.
Salary Range
The hiring range for this position is $42,328 to $52,915 annually.
Benefits
- Retirement Savings Plan
- 22 vacation days
- 8 Paid Holidays
- Sick Time
- Tuition benefits for employee, spouse and dependent children
- Free Metro Link/ Bus pass
- Free Life Insurance
- Health, Dental, Vision
- Health Savings Accounts (HSA)
- Long Term Disability Insurance
- Flex Spending Plan
- Other Benefits
EOE Statement
Washington University in St. Louis is an equal opportunity, affirmative action employer and encourages applications from women, ethnic minorities, veterans, and individuals with disabilities.
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Washington University in St. Louis! .
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This occupation starts available on: Sat, 13 Apr 2013 00:17:57 GMT
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