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Director Insurance Prior Authorization Jobs in Virginia

Certified Medical Assistant

Blackstone, VA ยท On-site

$17.75 - $23/hr

Administer medications and injections as directed and within scope of practice. * Perform ... Experience with insurance prior authorizations and referrals. * Experience performing phlebotomy ...

Certified Medical Assistant

Blackstone, VA ยท On-site

$17.75 - $23/hr

Administer medications and injections as directed and within scope of practice. * Perform ... Experience with insurance prior authorizations and referrals. * Experience performing phlebotomy ...

Showing results 41-60

Director Insurance Prior Authorization information

What does a director insurance prior authorization do?

A Director of Insurance Prior Authorization oversees the processes required to obtain insurance approvals for medical procedures, prescriptions, or treatments. They manage teams responsible for submitting prior authorization requests and ensure compliance with insurance guidelines and regulations. Their role includes improving workflow efficiency, reducing denials, and collaborating with healthcare providers and insurance companies. Additionally, they analyze trends to optimize the authorization process and provide training to staff on policy changes.

What are the key skills and qualifications needed to thrive as a director insurance prior authorization?

To thrive as a Director of Insurance Prior Authorization, you need expertise in healthcare administration, insurance processes, and regulatory compliance, typically supported by a bachelor's or master's degree in healthcare or business administration. Familiarity with prior authorization software, electronic health records (EHRs), and payer systems is crucial for overseeing efficient authorization workflows. Strong leadership, problem-solving, and communication skills help drive team performance and manage complex stakeholder relationships. These skills ensure timely approvals, reduce claim denials, and maintain regulatory compliance, which directly impact patient access and organizational revenue.

What are some common challenges faced by a director insurance prior authorization, and how can they be effectively managed?

A Director of Insurance Prior Authorization often encounters challenges such as navigating constantly changing insurance requirements, ensuring timely approvals for patient care, and managing high volumes of authorization requests. Effective management involves staying updated on payer policies, implementing robust tracking systems, and fostering strong communication between clinical, administrative, and payer teams. Building a knowledgeable team and utilizing technology to streamline workflows can also help reduce denials and improve turnaround times.

What is the difference between Director Insurance Prior Authorization vs Insurance Authorization Specialist?

AspectDirector Insurance Prior AuthorizationInsurance Authorization Specialist
CredentialsBachelor's degree, industry certifications often preferredHigh school diploma or equivalent, relevant certifications beneficial
Work EnvironmentManagement level, overseeing teams and processesOperational role, performing authorization tasks
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsMedical offices, insurance companies, healthcare providers
Primary ResponsibilitiesOverseeing authorization processes, policy compliance, team managementProcessing authorization requests, verifying coverage, documentation

The main difference is that the Director Insurance Prior Authorization manages teams and oversees authorization policies, while the Insurance Authorization Specialist handles the day-to-day processing of authorization requests. Both roles require knowledge of insurance policies, but the director position involves leadership and strategic oversight.

What are popular job titles related to Director Insurance Prior Authorization jobs in Virginia?

For Director Insurance Prior Authorization jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Director Insurance Prior Authorization jobs in Virginia look for?

The top searched job categories for Director Insurance Prior Authorization jobs in Virginia are:

What cities in Virginia are hiring for Director Insurance Prior Authorization jobs?

Cities in Virginia with the most Director Insurance Prior Authorization job openings:

Infographic showing various Director Insurance Prior Authorization job openings in Virginia as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 90% In-person, 2% Hybrid, and 8% Remote job distribution.

Certified Medical Assistant

County Med LLC

Blackstone, VA โ€ข On-site

$17.75 - $23/hr

Full-time

PTO

Posted 24 days ago


Job description

Job Description: Certified Medical Assistant (CMA)

Position Title: Certified Medical Assistant (CMA)
Department: Clinical Services
Reports To: Practice Manager/Practice Owner and Supervising Provider
Employment Type: Full-Time (32 Hours)

Position Summary

The Certified Medical Assistant (CMA) is responsible for providing high-quality clinical and administrative support to healthcare providers while ensuring exceptional patient care. In a small privately owned medical practice, the CMA plays a vital role in maintaining efficient office operations by assisting with patient care, clinical procedures, documentation, and communication. The ideal candidate is compassionate, dependable, organized, and committed to delivering outstanding service in a collaborative team environment.

Essential Duties and Responsibilities

Clinical Responsibilities

  • Prepare patients for examinations by obtaining and documenting medical history, current medications, allergies, and chief complaints.
  • Measure and record vital signs, including blood pressure, pulse, temperature, height, weight, oxygen saturation, and BMI.
  • Assist providers during examinations and medical procedures.
  • Administer medications and injections as directed and within scope of practice.
  • Perform phlebotomy, specimen collection, EKGs, and point-of-care testing as required.
  • Prepare and maintain examination rooms, ensuring cleanliness and proper stocking of supplies.
  • Sterilize and maintain medical instruments and equipment according to infection control standards.
  • Educate patients regarding medications, treatment plans, preventive care, and follow-up instructions.
  • Process laboratory specimens and coordinate outside laboratory testing.
  • Monitor inventory of clinical supplies and notify management when supplies need replenishing.

Administrative Responsibilities

  • Assist with patient check-in and check-out as needed.
  • Schedule appointments and coordinate patient follow-up visits.
  • Verify patient information and update electronic medical records (EMR).
  • Document patient encounters accurately and promptly within the EMR system.
  • Assist with prescription refill requests under provider direction.
  • Coordinate referrals, prior authorizations, and diagnostic testing.
  • Answer patient phone calls and respond appropriately within scope of practice.
  • Maintain patient confidentiality in accordance with HIPAA regulations.
  • Assist with quality improvement initiatives and regulatory compliance.

Required Qualifications

  • Current Certified Medical Assistant (CMA) credential from an accredited certifying organization.
  • High school diploma or GED required.
  • Graduate of an accredited Medical Assistant program.
  • Current Basic Life Support (BLS/CPR) certification.
  • Knowledge of medical terminology, anatomy, and clinical procedures.
  • Experience using electronic medical record (EMR) systems.
  • Excellent communication and interpersonal skills.
  • Strong organizational skills with exceptional attention to detail.
  • Ability to multitask and prioritize responsibilities in a fast-paced environment.
  • Commitment to providing compassionate, patient-centered care.

Preferred Qualifications

  • One or more years of experience in an outpatient or primary care setting.
  • Experience with insurance prior authorizations and referrals.
  • Experience performing phlebotomy and administering injections.
  • Familiarity with quality reporting measures and preventive care guidelines.

Physical Requirements

  • Ability to stand, walk, bend, and move throughout the workday.
  • Ability to lift up to 30 pounds occasionally.
  • Manual dexterity sufficient to perform clinical procedures and operate medical equipment.
  • Ability to assist patients with mobility when necessary.

Work Environment

This position is based in a small privately owned medical practice where employees often perform a variety of clinical and administrative duties. Teamwork, professionalism, flexibility, and a patient-first attitude are essential. The Certified Medical Assistant is expected to adapt to changing priorities while maintaining high standards of patient care and operational efficiency.

Key Competencies

  • Compassionate Patient Care
  • Clinical Competence
  • Professionalism
  • Strong Communication Skills
  • Teamwork and Collaboration
  • Organization and Time Management
  • Attention to Detail
  • Critical Thinking and Problem Solving
  • Adaptability and Flexibility
  • Confidentiality and Ethical Conduct

Performance Expectations

The Certified Medical Assistant is expected to:

  • Deliver safe, accurate, and compassionate patient care.
  • Promote a positive patient experience through courteous and professional interactions.
  • Maintain accurate and timely documentation.
  • Support providers in delivering efficient, high-quality medical care.
  • Comply with all HIPAA, OSHA, infection control, and practice policies.
  • Contribute to a collaborative, respectful, and team-oriented work environment.

The Certified Medical Assistant is an integral member of the healthcare team and contributes directly to the success of the practice by ensuring excellent patient care, efficient clinical operations, and outstanding customer service.