Pre-Certification & Authorization Specialist

The Rector & Visitors of the University of Virginia; Charlottesville (VA); On-site; USD 25,000 - 46,000; Full time

Job summary

The Rector & Visitors of the University of Virginia is seeking a professional to obtain pre-certification for inpatient admissions and pre-authorization for outpatient tests, performing essential administrative support to protect revenue and ensure timely payments. The role requires applying policies with independent judgment in a medical setting.

Minimum qualifications include a high school diploma (associates preferred) and at least 3+ years of relevant experience.

Qualifications

• High School Diploma or equivalent required; Associates degree preferred.
• 3+ years relevant experience required.
• Licíensure: None

Responsibilities

• Analyzes information required to complete pre-certifications and/or authorizations with insurance carriers service area contacts and workman's compensation carriers.
• Demonstrates skill in the proficient use of PC and UVA software systems to ensure that all pre-certification/pre-authorization information is entered into required computer systems in an accurate and timely manner.
• Demonstrates the skills of effective communication decision-making and organization to ensure efficient job performance and job success.
• Demonstrates ability to adhere to policies and procedures.
• In addition to the above job responsibilities, other duties may be assigned.

Skills

Communication

Decision making

Organization

Attention to detail

Education

High School Diploma or equivalent

Associates degree preferred

Tools

UVA software systems

PC

Job description

The Rector & Visitors of the University of Virginia is seeking a professional to obtain pre-certification for inpatient admissions and pre-authorization for outpatient tests, performing essential administrative support to protect revenue and ensure timely payments. The role requires applying policies with independent judgment in a medical setting.

Minimum qualifications include a high school diploma (associates preferred) and at least 3+ years of relevant experience.