Prior Authorization Specialist
12 hours ago
As a Prior Authorization Technician at UVA Specialty Pharmacy, you will play a vital role in ensuring patients have timely access to critical medications. Your primary responsibility will involve obtaining medication authorizations from insurance plans, assessing patient eligibility, and investigating pharmaceutical medication assistance programs.
Key Responsibilities- Obtain medication authorizations from insurance plans
- Assess patient eligibility for medication assistance programs
- Investigate pharmaceutical medication assistance programs
- Stay informed about changes in carrier contracts and departmental policies
- Triages and escalates questions or issues outside the pharmacy technician scope of practice
- Operate pharmacy equipment and ensure quality assurance
- High School Graduate or Equivalent
- 6 months minimum relevant experience required
- Commonwealth of Virginia Pharmacy Technician Registration required
- CPhT credential through National Healthcareer Association (NHA) or Pharmacy Technician Certification Board (PTCB) required
Job requires standing for prolonged periods. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull less than 20lbs.
The University of Virginia, including the UVA Health System, is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.
-
Prior Authorization Specialist
12 hours ago
Charlottesville, Virginia, United States Insight Global Full timeJob DescriptionWe are seeking a skilled Prior Authorization Specialist to join our team at Insight Global. As a key member of our team, you will be responsible for obtaining pre-certification for all inpatient admissions and pre-authorization for all outpatient diagnostic tests.This role requires strong analytical and communication skills, as well as the...
-
Authorization Specialist
1 week ago
Charlottesville, Virginia, United States Insight Global Full timeJob Title: Prior Authorization Specialist **Job Summary:** Insight Global is seeking a skilled Prior Authorization Specialist to join our team. As a key member of our healthcare team, you will be responsible for obtaining pre-certification for all inpatient admissions and pre-authorization for all outpatient diagnostic tests. Your expertise will be...
-
Authorization Specialist II
4 weeks ago
Charlottesville, Virginia, United States Sentara Full timeLocation: Norfolk, VAOverview:Sentara Martha Jefferson Hospital is seeking an Authorization Specialist II for a full-time day schedule. Our hospital, established in 1903, has a long-standing commitment to delivering high-quality clinical care and personalized healthcare services. We pride ourselves on providing a welcoming environment with all private...
-
Authorization Specialist II
4 weeks ago
Charlottesville, Virginia, United States Sentara Healthcare Full timeCity/State Charlottesville, VA Overview Work Shift First (Days) (United States of America) Sentara Martha Jefferson Hospital is seeking an Authorization Specialist II - Full Time Day schedule Qualifications: High School Diploma or Equivalent is required. Experience in Health Insurance Authorizations, Health Insurance Verification, or Registration/Billing is...
-
Clinical Authorization Specialist
3 weeks ago
Charlottesville, Virginia, United States Sentara Full timeAbout the Role:Sentara Healthcare is seeking a highly skilled Clinical Authorization Specialist to join our team. As a key member of our healthcare team, you will be responsible for reviewing clinical information received from physicians, department queues, and other clinical providers to ensure that clinical data is substantial enough to authorize services...
-
Authorization Specialist
2 weeks ago
Charlottesville, Virginia, United States Sentara Full timeJob SummaryAs a key member of our team, you will be responsible for reviewing clinical information received from physicians, department queues, and other clinical providers to ensure that clinical data is substantial enough to authorize services for both one-time visit account types and recurring accounts.Key Responsibilities:Analyze clinical information to...
-
Pre-Authorization Coordination Specialist
4 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeJob Title: Pre-Authorization Coordination Specialist at Commonwealth of VirginiaCompany: Commonwealth of VirginiaPOSITION SUMMARY:This role is responsible for securing pre-authorization for all inpatient admissions and pre-certifications for outpatient diagnostic procedures while providing essential administrative support. The position necessitates the...
-
Pre-Certification Authorization Specialist
23 hours ago
Charlottesville, Virginia, United States The Rector & Visitors of the University of Virginia Full timeJob SummaryWe are seeking a highly skilled Pre-Certification Authorization Coordinator to join our team at The Rector & Visitors of the University of Virginia. This role is responsible for obtaining pre-certification for all inpatient admissions and pre-authorization for all outpatient diagnostic tests, while providing administrative support in a medical...
-
Pre-Certification Authorization Specialist
2 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeJob SummaryWe are seeking a highly skilled Pre-Certification Authorization Coordinator to join our team at the Commonwealth of Virginia. This role requires a strong understanding of medical policies and procedures, as well as excellent communication and organizational skills.Key ResponsibilitiesAnalyze information to complete pre-certifications and...
-
Pre-Certification Authorization Specialist
4 days ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeJob SummaryWe are seeking a highly skilled Pre-Certification Authorization Coordinator to join our team at the Commonwealth of Virginia. This role requires a strong understanding of medical policies and procedures, as well as excellent communication and organizational skills.Key ResponsibilitiesAnalyze information to complete pre-certifications and...
-
Credentialing and Enrollment Specialist
4 days ago
Charlottesville, Virginia, United States Virginia Jobs Full timeJob SummaryWe are seeking a highly organized and detail-oriented Credentialing and Enrollment Specialist to join our team at Virginia Jobs. As a key member of our enrollment team, you will play a critical role in ensuring the timely and accurate enrollment of healthcare providers with government and managed care payors.Key ResponsibilitiesAssist in the...
-
Regional Medicaid Specialist
2 weeks ago
Charlottesville, Virginia, United States CommuniCare Family of Companies Full timeJob SummaryThe Regional Medicaid Specialist position provides assistance with the coordination of financial benefits available to residents in our Caring Communities. This role requires a dynamic individual with prior Business Office or Admissions experience in Long Term Care.Key ResponsibilitiesAssist facilities with gathering financial data from residents,...
-
Regional Medicaid Specialist
6 days ago
Charlottesville, Virginia, United States CommuniCare Family of Companies Full timeJob SummaryThe Regional Medicaid Specialist position at CommuniCare Family of Companies provides assistance with the coordination of financial benefits available to residents in our Caring Communities. This role requires a dynamic individual with prior Business Office or Admissions experience in Long Term Care to provide support with the coordination of...
-
Regional Medicaid Specialist
5 days ago
Charlottesville, Virginia, United States CommuniCare Family of Companies Full timeJob SummaryThe Regional Medicaid Specialist position provides critical support in coordinating financial benefits for residents in our Caring Communities. This role requires a dynamic individual with prior experience in Business Office or Admissions in Long Term Care.Key ResponsibilitiesAssist facilities in gathering financial data from residents, families,...
-
Regional Medicaid Specialist
3 days ago
Charlottesville, Virginia, United States CommuniCare Family of Companies Full timeJob SummaryThe Regional Medicaid Specialist plays a critical role in ensuring the financial well-being of our residents by coordinating the application process for Medicaid benefits. This position requires a strong understanding of Medicaid laws and regulations, as well as excellent communication and organizational skills.Key ResponsibilitiesAssist...
-
Pre-Certification Specialist
2 days ago
Charlottesville, Virginia, United States University of Virginia Full timeJob SummaryWe are seeking a highly skilled Pre-Certification and Authorization Specialist to join our team at the University of Virginia. This role is responsible for obtaining pre-certification for all inpatient admissions and pre-authorization for all outpatient diagnostic tests, as well as performing administrative support functions.Key...
-
Lab Specialist
1 day ago
Charlottesville, Virginia, United States Virginia Jobs Full timeSpatial Biology Core Lab Specialist Job DescriptionThe Spatial Biology Core is seeking a highly skilled Lab Specialist to support research projects in spatial transcriptome and proteome analysis, multiplex analysis, and stem cell -iPSC-derived cell development projects.Responsibilities:Conduct experiments to support research projects, including sample...
-
Credentialing and Enrollment Specialist
1 week ago
Charlottesville, Virginia, United States Virginia Jobs Full timeJob SummaryWe are seeking a highly organized and detail-oriented Credentialing and Enrollment Specialist to join our team at Virginia Jobs. This role will be responsible for assisting with delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare/Medicaid/Department of Defense and managed care payors.Key...
-
Pool Safety Specialist
2 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full time{"Job Title": "Pool Safety Specialist", "Job Summary": "We are seeking a highly skilled and experienced Pool Safety Specialist to join our team at the University of Virginia. As a Pool Safety Specialist, you will be responsible for ensuring the safety and well-being of our patrons while working at our aquatic facilities. This is a part-time, wage position...
-
Medical Laboratory Specialist in Virginia
1 week ago
Charlottesville, Virginia, United States KA Recruiting Inc. Full timeWe are seeking a Medical Laboratory Specialist to join our team at KA Recruiting Inc. in Virginia.About the Role:As a Medical Laboratory Specialist, you will be responsible for performing laboratory tests and procedures to aid in the diagnosis and treatment of diseases.Key Responsibilities:Perform laboratory tests and procedures to analyze patient...