Clinical Authorization Specialist

Sentara HealthCharlottesville, VA
12d

About The Position

Responsible 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)

Requirements

  • 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)

Benefits

  • 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.
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