Clinical Authorization Specialist

Sentara Health • Chesapeake, VA

18d • Onsite

About The Position

The Clinical Authorization Coordinator is 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.

Requirements

• LPN or Pharmacy Tech Trade School (Required)
• Virginia Pharmacy Tech License (Required)
• CPhT License (Received through the NHA or PTCB (Required) or Virginia LPN License (Required)
• 2 Years Pharmacy Experience (Required) or 2 years Clinical Experience (Required)

Nice To Haves

• Home Health Experience (Preferred)
• Authorization Experience (Preferred)
• Epic Experience (Preferred)

Responsibilities

• 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
• maintains a database of payer authorization requirements

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED