Washington University in St. Louis

This position supports and facilitates all aspects of credentials onboarding and verification for medical staff appointments, re-appointments, allied health providers, and fellows. Responsibilities include continuous verification of credentials, ensuring compliance with various standards, and maintaining accurate data in the credentials database.

The role involves performing secretarial duties such as typing medical dictation, preparing spreadsheets and reports, filing, and transcribing various medical documents. This position also manages daily appointment schedules, maintains medical records, coordinates clerical functions, and assists administrative staff as needed.

This position involves supervising and overseeing the daily operations of the predetermination/precertification process while counseling patients and families on financial assistance options. Key duties include developing policies to optimize precertification, interacting with patients on non-coverage issues, and resolving prior approval problems with third-party carriers.

This advanced coordinator specializes in complex pre-certifications for high-dollar oncology and non-oncology drugs by analyzing treatment plans and payer policies, completing authorizations in Epic, and verifying eligibility information. They must also work with clinical staff on add-ons, denials, and peer-to-peer reviews until resolution.

The position involves reviewing medical record documentation to determine appropriate billing codes for diagnoses and procedures, ensuring comprehensive description of patient conditions and treatment. This includes meeting with physicians to resolve coding issues and assisting staff with medical terminology and policy interpretation.

The coordinator initiates and facilitates the pre-determination process, verifying benefits and obtaining pre-certification for surgical and nonsurgical procedures while notifying financial counselors for un-coded services. This role also involves maintaining the daily surgery/procedure schedule and documenting all pre-certification statuses with insurance companies and internal departments.

This role coordinates several clinical research studies focused on Parkinson Disease (PD), acting as a liaison between investigators, the community, funding agencies, and participants. Responsibilities include managing study procedures, ensuring regulatory compliance, handling participant assessments, analyzing collected data, and assisting with manuscript and grant preparation.

This role involves performing advanced secretarial duties, including transcribing medical documents using substantial medical terminology and managing physician schedules, appointments, and travel arrangements. The secretary also serves as a liaison, greets visitors, answers phones, and assists administrative/clinical staff during peak times.

This role supports and facilitates all aspects of the system credentials verification process for medical staff and managed care provider appointments, including continuous verification of credentials and ensuring compliance with state, federal, JCAHO, and NCQA standards. Responsibilities also include maintaining accurate data in the credentials database, generating necessary reports, and maintaining permanent credential files.

This role involves obtaining patient insurance information, counseling on financial assistance, and managing patient scheduling via phone or email, including handling urgent requests and processing internal referrals. The associate will also explain the billing process to patients and third-party payers, answer inquiries, and perform basic account maintenance.