Intake Prior Authorization Jobs in Virginia (NOW HIRING)

Authorization and Intake Specialist play a critical role in facilitating timely access to home health services by coordinating patient referrals, verifying insurance coverage, and securing prior authorizations. This position serves as a central point of communication between referral sources, clinicians, patients, and payers to ensure a smooth transition from hospital or provider settings into home-based care. Key responsibilities include reviewing incoming referrals for completeness and eligibility, obtaining and documenting insurance authorizations, and ensuring compliance with payer requirements and regulatory standards. The specialist collaborates closely with clinical and administrative teams to prioritize referrals, address barriers to care, and support efficient patient onboarding. This role requires strong organizational skills, attention to detail, and knowledge of insurance processes, including Medicare, Medicaid, and commercial payers. Effective communication, critical thinking, and the ability to manage high-volume workflows are essential to support continuity of care and optimize patient outcomes in the home health setting.

The Authorization and Intake Specialist is responsible for receiving, reviewing, and processing incoming referrals from hospitals, providers, and community sources to facilitate timely home health services. This role includes verifying patient eligibility and insurance benefits across Medicare, Medicaid, and commercial payers, as well as obtaining and documenting prior authorizations in accordance with payer requirements. The specialist ensures all required documentation such as physician orders, face-to-face encounters, and clinical records is complete and compliant with regulatory standards, while accurately entering and maintaining patient information within the electronic medical record system. Responsibilities also include prioritizing referrals based on urgency, payer guidelines, and patient needs, monitoring authorization status, and proactively following up with payers to prevent delays in care. The role requires strict adherence to agency policies, state and federal regulations, and accreditation standards, while also supporting performance improvement initiatives aimed at enhancing intake efficiency, patient satisfaction, and reimbursement outcomes.

About UVA Continuum Home Health Care Navigating Healthcare Together. Making a Difference One Visit at a Time. UVA Continuum Home Health Care, part of UVA Health, has been proudly serving Central Virginia communities for over 30 years. We're more than a home health agency-we're a dedicated team helping patients regain independence and improve their quality of life. From newborns to seniors, we provide a comprehensive range of services, including skilled nursing, physical and occupational therapy, speech-language pathology, medical social work, home health aides, home infusion therapy, and specialized nutritional support. Under the UVA Population Health department, we are an academic home health agency committed to excellence, innovation, and lifelong learning. We provide home-based services across Charlottesville and the surrounding counties-Albemarle, Augusta, Rockingham, Harrisonburg, Staunton, Waynesboro, Nelson, Buckingham, Fluvanna, Louisa, Orange, Madison, Greene, and Culpeper. In addition, we offer advanced home infusion and nutritional support throughout the state.

Why join UVA Continuum?

• Collaborate with a skilled, mission-driven care team
• Enjoy the autonomy and flexibility of in-home care
• Access the stability and resources of a nationally recognized academic health system
• Build a meaningful career with real work-life balance

UVA Health is Magnet® recognized, Medicare certified, and accredited by The Joint Commission. The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non-discrimination and equal opportunity employment.