Clinical Authorization Specialist

Sentara Health•Chesapeake, VA

6d•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

High LPN or Pharmacy Tech Trade School (Required)
High School Diploma or Equivalent (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.