Pre-Certification Coordinator II - Remote

Overview

The Pre-Certification Coordinator II specializes in complex pre-certifications for high dollar oncology and non-oncology drugs, ensuring effective communication with clinical staff and timely processing of authorizations.

In Short

• Completes complex pre-certifications for oncology and non-oncology drugs.
• Verifies insurance eligibility and authorization information.
• Documents authorization information in EPIC.
• Communicates effectively with clinical staff and providers.
• Assists with denials, rejections, and appeals.
• Works in a normal office environment.
• Requires high school diploma or equivalent.
• Preferred qualifications include some college or associate's degree.
• Skills in communication and detail orientation are essential.
• Salary range is $22.78 - $34.21 per hour.

Requirements

• 3 years of experience in Clinical Office, Medical Billing, or Pre-Certification.
• Excellent communication and organizational skills.
• Ability to work in a fast-paced environment.
• Understanding of insurance terminology.
• Experience with managed care plans and insurance companies.
• Detail-oriented with strong multitasking abilities.
• Preferred certifications include CPC and RHIT.

Benefits

• Up to 22 days of vacation and 10 holidays.
• Competitive health insurance packages.
• Free Metro transit U-Pass for eligible employees.
• Retirement savings plan with university contributions.
• Wellness challenges and mental health resources.
• 4 weeks of caregiver leave for new parents.
• Tuition coverage for employees and their families.