Pre-Certification Authorization Coordinator

UVA Health•Charlottesville, VA

3d•$18 - $33•Onsite

About The Position

As a Pre-Certification Authorization Coordinator, you will play a critical role in helping patients access timely treatment by ensuring financial clearance and authorization requirements are completed accurately and efficiently. Your work helps reduce delays, prevent denials, and support a seamless patient experience across UVA Health. In this highly collaborative role within Revenue Cycle Operations, you will partner with patients, providers, pharmacy teams, payers, and operational stakeholders to navigate complex authorization requirements and support access to essential healthcare services. This is an opportunity to build specialized expertise in prior authorization, insurance verification, and financial clearance within a leading academic health system. As a member of the Pre-Arrival Unit, you will help financially clear scheduled services before patient arrival by verifying benefits, obtaining prior authorizations, documenting payer decisions, and coordinating with clinical and operational teams. Your ability to manage complex cases, interpret payer requirements, and proactively resolve barriers will directly contribute to patient access and operational success. This role is ideal for professionals who enjoy analytical problem-solving, working in a fast-paced environment, managing multiple systems simultaneously, and taking ownership of complex cases through resolution.

Requirements

High School Diploma or equivalent required
3+ years relevant experience required
Must be able to hear, speak, read and write legibly.

Nice To Haves

Associates degree preferred

Responsibilities

Managing Epic work queues and prioritizing cases based on service dates, payer requirements, and financial risk factors.
Verifying insurance coverage, benefits, and filing order to support accurate financial clearance.
Reviewing provider, facility, diagnosis, procedure, drug, and clinical documentation to determine authorization requirements.
Submitting, tracking, and documenting authorizations and predeterminations through payer portals, phone, and other communication channels.
Collaborating with patients, providers, pharmacies, payers, and operational partners to resolve issues and maintain treatment timelines.
Supporting infusion and specialty-service authorizations, including specialty medications and treatment plan reviews.
Escalating denials and unresolved cases within required timeframes to help prevent delays in care and reimbursement.