Pre Certification Authorization Coordinator

UVA Health

3d•$18

About The Position

Obtains pre-certification for all inpatient admission and pre-authorization for all outpatient diagnostic tests and performs an administrative support function. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The purpose is to achieve the goals and to meet the denial rates set by Patient Access the Medical Center and HSF to ensure minimum loss of revenue and maximum payment for services. The ability to maintain a working knowledge of carrier contracts/changes and departmental policies and procedures is required. 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.

Requirements

Education: High School Diploma or equivalent required.
Experience: 2 years relevant experience.
Licensure: None required.

Responsibilities

Obtains pre-certification for all inpatient admission and pre-authorization for all outpatient diagnostic tests and performs an administrative support function.
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.
Other duties may be assigned.