Clinical Authorization Specialist

Chesapeake, VA
Aug 16, 2018
Oct 04, 2018
Full Time
Job Description: Responsible to maintain, confirm 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 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. Education Level
High School Grad or Equivalent OR
Trade School Graduate - PHARMACY TECHNICIAN

Required: None, unless noted in the “Other” section below

Preferred: Analyzing Insurance Policies - 1 year, Clinical - 2 years, Home Health - 1 year, Hospice - 1 year, Pharmacy Technician - 2 years

Required: Cert Pharm Tech Board, Cert Pharmacy Tech, Licensed Practical Nurse

Preferred: None, unless noted in the “Other” section below


Preferred: None, unless noted in the “Other” section below

2 years of clinical experience or Pharmacy Tech experience required.

Sentara Healthcare is currently recruiting for an experienced Pharmacy Technician to work as a Clinical Authorization Specialist in support of operations at our Sentara Home Care Pharmacy in Chesapeake, VA. This is a Full-time (40hrs/wk) Day shift position.

Our highly skilled team of clinicians with Sentara Home Health Services partners with individual physicians to coordinate the multiple therapies and services each patient may require - from skilled nursing care and infusion therapy to respiratory care and medical equipment. Sentara Home Health Services is accredited by the Accreditation Commission for Health Care and belongs to a number of local, state and national organizations. Sentara Home Health Services has been ranked in the Top 10 Home Care Agencies in America by Home Care Magazine over the past several years, and has won the Best-Practice Award for Asthma Management (American Association of Health Plans). We are Medicare-Medicaid Certified for home health and Medicare-Medicaid & Tricare hospice certified.

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, CLICK HERE!

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

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