Clinical Authorization Specialist

Reposted Yesterday
Be an Early Applicant
Charlottesville, VA, USA
In-Office
Junior
Healthtech
The Role
Responsible for maintaining and securing medical referrals, authorizations, and pre-certifications for patients ensuring accuracy and compliance with standards.
Summary Generated by Built In

City/State

Charlottesville, VA

Work Shift

First (Days)

Overview:

OverviewResponsible to maintain, confirming and secure referrals, authorization, or pre-certifications required for patients to receive medical procedures and/ or medication/enteral therapy. Ensure accuracy and completeness of patient account information and maintains a database of payer authorization requirements.
Adheres to policies and procedures in order to comply with performance and compliance standards and to ensure cost-effective and appropriate healthcare delivery.
2 years of clinical experience or Pharmacy Tech experience is required.
VA OR NC (depending upon state location) Pharmacy Technician Registration Number and PTCB or NHA Certified Pharmacy Technician (CPhT)
Education
  • Name of Degree (Required)
  • Name of Degree (Preferred) this line is optional

or

  • No specific education requirements

or

  • Bachelors Degree + 2 years relevant experience may be accepted in lieu of degree
Certification/Licensure
  • VA OR NC (depending upon state location) Pharmacy Technician Registration Number and PTCB or NHA Certified Pharmacy Technician (CPhT)
Experience
  • 2 years of clinical experience or Pharmacy Tech experience is required.

Benefits: Caring For Your Family and Your Career
Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance 
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.


In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Top Skills

Nha Certified Pharmacy Technician (Cpht)
Pharmacy Technician Registration
Ptcb
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The Company
HQ: Norfolk, VA
10,975 Employees
Year Founded: 1888

What We Do

Sentara Healthcare celebrates a 130-year history of innovation, compassion and community benefit. Based in Norfolk, VA, Sentara is a diverse not-for-profit family of 12 hospitals, an array of integrated services and a team of nearly 30,000 strong on a mission to improve health every day. This mandate is pursued through a disciplined strategy to achieve Top 10% performance in key measures through shared best practices, transformation of primary care through clinical integration and strategic growth that adds value to the communities we serve in Virginia and North Carolina.

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