Pre-Certification & Authorization Specialist

The Rector & Visitors of the University of Virginia; Charlottesville (VA); Presencial; USD 52.638.000 - 105.275.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive Benefits Package

Generous Paid Time Off

Retirement Savings

Long-term and Short-term Disability

Health Savings Plans

Flexible Spending Accounts

Certification and Education Support

Descripción de la vacante

The Rector & Visitors of the University of Virginia is seeking a professional to obtain pre-certification for inpatient admissions and pre-authorization for outpatient diagnostic tests, delivering essential administrative support.

The role requires applying policies, independent judgment in a medical setting, and maintaining knowledge of carrier contracts and UVA systems to ensure accurate, timely entry and compliant processing.

Formación

• High School Diploma or equivalent required.
• Associates degree preferred.
• 3+ years relevant experience required.
• Must maintain knowledge of carrier contracts and policies.

Responsabilidades

• Analyze information required to complete pre-certifications and/or authorizations.
• Use UVA software systems to ensure data entry into required systems.
• Demonstrate effective communication, decision-making, and organization to ensure performance.
• Adhere to policies and procedures.
• Other duties may be assigned.

Conocimientos

Effective communication

Decision-making

Organization

Educación

High School Diploma or equivalent

Associates degree preferred

Herramientas

PC

UVA software systems

Descripción del empleo

The Rector & Visitors of the University of Virginia is seeking a professional to obtain pre-certification for inpatient admissions and pre-authorization for outpatient diagnostic tests, delivering essential administrative support.

The role requires applying policies, independent judgment in a medical setting, and maintaining knowledge of carrier contracts and UVA systems to ensure accurate, timely entry and compliant processing.