Pre-Certification Authorization Coordinator

Make a meaningful impact before care even begins. 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. 

The Role 

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. 

A typical day may include: 

• Managing Epic workqueues 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. 

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. 

Why UVA Health 

At UVA Health, revenue cycle professionals are recognized as essential contributors to patient care. This position offers the opportunity to combine technical expertise with meaningful healthcare impact while supporting one of the nation's leading academic health systems. 

Why professionals choose UVA Health: 

• Direct impact on patient access and timely treatment, ensuring patients can receive needed services without unnecessary delays. 

• Exposure to complex and specialized authorizations, including infusion, specialty medications, procedural, surgical, and diagnostic services. 

• Collaboration across clinical, pharmacy, payer, and operational teams, providing broad healthcare operations experience. 

• Advanced technology and workflow tools, including Epic and evolving electronic authorization capabilities. 

• Continuous professional development, structured training, process improvement opportunities, and ongoing learning within Revenue Cycle Operations. 

• A collaborative, patient-centered culture built on communication, accountability, partnership, continuous learning, and data-driven improvement. 

This role is especially rewarding for professionals who are passionate about healthcare access, denial prevention, operational excellence, and improving the patient journey across a large academic medical center. 

Why People Love Living in Charlottesville 

Charlottesville offers an exceptional quality of life with the perfect balance of professional opportunity and personal fulfillment. Nestled near the Blue Ridge Mountains, the area provides access to hiking, cycling, wineries, vibrant arts and music, outstanding restaurants, and a welcoming community atmosphere. Residents enjoy the charm of a historic college town, excellent schools, and convenient access to major metropolitan areas while benefiting from a slower pace and abundant outdoor recreation. For healthcare professionals and families alike, Charlottesville is a place where career growth and lifestyle can thrive together.