The Pre-Arrival Lead coordinates daily assignments to help the team complete high-volume work accurately and on time. This role is responsible for ensuring the accuracy of registration and insurance plan/FSC information on patient accounts, coordinating workload and processes for procedure authorizations and referrals, and serving as a resource to staff and other teams.
The position involves heavy call volume to insurance companies, third-party administrators, physician offices, and employers to verify eligibility, obtain referrals and authorizations, and gather benefit information related to oncology visits. The lead also supports clinical areas with registration, benefits, and referral questions, sends financial alerts and notifications about potential financial liability, manages assigned TES and ETM files, updates invoices, and redirects claims to the appropriate payers when needed.
Required Qualifications
- High school diploma or equivalent, or a combination of education and experience
- 3 years of medical billing/coding experience
- Previous pre-certification experience
- Strong understanding of insurance terminology
- Experience interacting with managed care plans, insurance companies, and third-party payers
- Ability to work effectively with internal and external customers, including physicians, nurses, patients, and families
Preferred Qualifications
- Associate degree or some college coursework
- Coding experience
- Familiarity with Washington University FSC database
- CPC or RHIT certification preferred
- Strong communication, multitasking, organization, prioritization, and detail-oriented skills
Benefits and Perks
- Up to 22 days of vacation
- 10 recognized holidays and sick time
- Competitive health insurance with priority appointments and lower copays/coinsurance
- Free Metro transit U-Pass for eligible employees
- 403(b) retirement savings plan with employee and university contributions starting at 7%
- Wellness challenges, health screenings, mental health resources, mindfulness programs, and EAP support
- 4 weeks of caregiver leave
- Family care resources and childcare support
- Tuition coverage for employees and family members, including dependent undergraduate tuition benefits
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
4 weeks ago