Pre-Certification & Authorization Specialist

experiencedAlliedHealth; Charlottesville (VA); On-site; USD 38,000 - 77,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Retirement Savings

Disability Insurance

HSA/FSA

Job summary

UVA Health in Charlottesville is seeking a skilled professional to obtain pre-certifications for inpatient admissions and pre-authorizations for outpatient tests. You will apply policies, use UVA software, and coordinate with carriers to maximize revenue and minimize denials.

The role requires 3+ years of relevant experience, a high school diploma or equivalent (associates preferred), and strong attention to detail, communication, and organizational skills.

Qualifications

• 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.

Responsibilities

• Analyzes information required to complete pre-certifications and/or authorizations with insurance carriers service area contacts and workman’s compensation carriers.
• Demonstrates the skills of effective communication decision-making and organization to ensure efficient job performance and job success.
• In addition to the above job responsibilities, other duties may be assigned.

Skills

Attention to detail

Effective communication

Decision making

Organization

Education

High School Diploma or equivalent

Associates degree preferred

Tools

UVA software systems

PC proficiency

Job description

UVA Health in Charlottesville is seeking a skilled professional to obtain pre-certifications for inpatient admissions and pre-authorizations for outpatient tests. You will apply policies, use UVA software, and coordinate with carriers to maximize revenue and minimize denials.

The role requires 3+ years of relevant experience, a high school diploma or equivalent (associates preferred), and strong attention to detail, communication, and organizational skills.