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Pre-Certification Specialist

2 months ago

Charlottesville, Virginia, United States University of Virginia Full time
Job Summary

We are seeking a highly skilled Pre-Certification and Authorization Specialist to join our team at the University of Virginia. This role is responsible for obtaining pre-certification for all inpatient admissions and pre-authorization for all outpatient diagnostic tests, as well as performing administrative support functions.

Key Responsibilities
  • Obtain pre-certification for all inpatient admissions and pre-authorization for all outpatient diagnostic tests
  • Perform administrative support functions, including data entry and record-keeping
  • Analyze information required to complete pre-certifications and/or authorizations with insurance carriers, service area contacts, and workman's compensation carriers
  • Demonstrate proficient use of PC and UVA software systems to ensure accurate and timely entry of pre-certification/pre-authorization information
  • Develop and maintain a working knowledge of carrier contracts/changes and departmental policies and procedures
Requirements
  • High School Diploma or equivalent required
  • 2 years relevant experience
  • Ability to maintain a working knowledge of carrier contracts/changes and departmental policies and procedures
  • Strong analytical and problem-solving skills
  • Excellent communication and organizational skills
What We Offer

The University of Virginia is an equal opportunity and affirmative action employer. We are committed to diversity and inclusion in the workplace. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.