Pre-Certification Authorization Coordinator - Pre Arrival Unit
Job ID: R0028170 | Medical Coding | Full Time | Charlottesville, VA
Obtain 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.
Position Compensation Range: $17.31 - $26.83 Hourly

MINIMUM REQUIREMENTS:

  • Education: High school diploma or equivalent required. Associate's Degree or graduate from an accredited Licensed Practical Nurse Program preferred.
  • Experience: 2 years relevant experience.
  • License/Certification: Licensed to practice as a Practical Nurse in the Commonwealth of Virginia preferred.

PHYSICAL DEMANDS
Job requires sitting for prolonged periods, attention to detail, must be able to hear, speak, read and write legibly.


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Charlottesville, VA
Charlottesville, VA 22903

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UVA Health System has one of the nation’s most diverse workforces. We are a close-knit, collaborative team that values the expertise, opinions and contributions of our staff. Our proven patient-first focus drives everything we do and fuels our many accomplishments - from Magnet® designation for our nurses to national recognitions as a top hospital and employer (Magnet is a registered trademark of the American Nurses Credentialing Center).

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Charlottesville, Virginia is one of the nation’s most charming and picturesque places to live and work. Our area boasts many excellent restaurants, wineries and craft breweries; historic sites; Shenandoah National Park and Skyline Drive; and a great selection of homes in welcoming neighborhoods, as well as urban and rural locations. Public transportation is excellent, and you’re just a short drive from the beach or Washington, D.C.