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Intake Prior Authorization Jobs in Virginia (NOW HIRING)

Summit BHC

Intake Clinician-Nights

Williamsburg, VA · On-site

$36K - $41K/yr

Facilitates intake, admission, and prior authorization process for incoming patients. * Performs insurance benefit verifications, disseminating the information gathered to patients, their families ...

Summit BHC

Intake RN-PRN

Williamsburg, VA · On-site

$36K - $41K/yr

Facilitates intake, admission, and prior authorization process for incoming patients. * Performs insurance benefit verifications, disseminating the information gathered to patients, their families ...

Riverside

$23.90 - $31.10/hr

Accurate documentation of all intake referrals and/or prior authorization information in patient medical record or patient assistance tracking software in compliance with policy and procedure ...

Riverside Health System Non-Providers

$23.90 - $31.10/hr

Accurate documentation of all intake referrals and/or prior authorization information in patient medical record or patient assistance tracking software in compliance with policy and procedure ...

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Intake Prior Authorization information

What are the key skills and qualifications needed to thrive as an Intake Prior Authorization Specialist, and why are they important?

To thrive as an Intake Prior Authorization Specialist, you need a strong understanding of insurance policies, medical terminology, and healthcare processes, often supported by a background in healthcare administration or a related field. Familiarity with prior authorization software, electronic medical records (EMRs), and payer portals is essential. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for navigating complex insurance requirements and collaborating with providers. These skills ensure timely and accurate processing of prior authorizations, reducing delays in patient care and supporting organizational efficiency.

What is an Intake Prior Authorization Specialist?

An Intake Prior Authorization Specialist is a healthcare professional responsible for processing and obtaining prior authorizations for medical procedures, medications, or services. They review requests from healthcare providers to ensure that the necessary documentation is provided and that the requested services meet insurance guidelines. This specialist acts as a liaison between providers, patients, and insurance companies to facilitate timely approvals and avoid delays in patient care. Their work helps ensure insurance coverage and compliance with healthcare regulations.

What are some common challenges faced in an Intake Prior Authorization role, and how can they be managed?

Professionals in Intake Prior Authorization often navigate high volumes of requests, rapidly changing insurance guidelines, and tight turnaround times. Staying organized, maintaining up-to-date knowledge of payer requirements, and using strong communication skills can help manage these challenges. Collaborating closely with clinical and administrative teams is also key to ensuring timely and accurate processing of authorizations. Regular training and support from experienced colleagues can further ease the transition into this fast-paced environment.

What is the difference between Intake Prior Authorization vs Medical Office Assistant?

AspectIntake Prior AuthorizationMedical Office Assistant
CredentialsTypically requires knowledge of insurance policies, medical terminology, and sometimes certification in healthcare administrationHigh school diploma or equivalent; may have medical assisting certification
Work EnvironmentHealthcare facilities, insurance companies, or specialty clinicsMedical offices, clinics, hospitals
Primary ResponsibilitiesReviewing insurance requirements, obtaining prior authorizations, verifying patient insuranceScheduling appointments, patient check-in, data entry, administrative support

Intake Prior Authorization specialists focus on insurance approval processes, while Medical Office Assistants handle broader administrative tasks. Both roles are essential in healthcare settings but serve different functions related to patient intake and administrative support.

What are popular job titles related to Intake Prior Authorization jobs in Virginia? For Intake Prior Authorization jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Intake Prior Authorization jobs in Virginia look for? The top searched job categories for Intake Prior Authorization jobs in Virginia are:
What cities in Virginia are hiring for Intake Prior Authorization jobs? Cities in Virginia with the most Intake Prior Authorization job openings:
Intake Prior Authorization jobs near you
Infographic showing various Intake Prior Authorization job openings in Virginia as of July 2026, with employment types broken down into 76% Full Time, and 24% Part Time. Highlights an 100% In-person job distribution.
Intake Clinician-Nights

Intake Clinician-Nights

Summit BHC

Williamsburg, VA • On-site

$36K - $41K/yr

Full-time

Posted 4 days ago

Job description

Intake Clinician-Nights | The Pavilion at Williamsburg Place | Williamsburg, Virginia
About the Job:
PURPOSE STATEMENT:
The Intake Clinician is a behavioral health professional responsible for facilitating admissions, conducting clinical intake assessments, and managing the prior authorization process to ensure patients receive the most appropriate level of care. This role handles daily intake and admissions operations, which may include screening, scheduling, financial counseling, and insurance verification. Intake Clinicians are responsible for completing assessments both at the facility and off-site as needed, screening for clinical and medical appropriateness and communicating assessment results to a physician, who determines the appropriate level of care. The Intake Clinician works closely with the business office, nursing, clinical staff, and external parties to ensure patients are admitted promptly and efficiently.
Roles and Responsibilities:
ESSENTIAL FUNCTIONS:
  • Facilitates intake, admission, and prior authorization process for incoming patients.
  • Performs insurance benefit verifications, disseminating the information gathered to patients, their families, and appropriate internal staff.
  • Provides additional coverage for the Call Center Team - e.g. answers phones, processes admission requests, completes call center duties reviewing and accepting patients, verifies insurance, and assists with insurance pre-certifications during times of high volume.
  • Provides accurate and ongoing assessment of patient's status in the admission and prior authorization process.
  • Facilitates the response to requests for services, including the initial response, the assessment and referral process, the designation of appropriate level of care, initiation/intake into services, and appropriate follow up activity.
  • Follows EMTALA regulations to complete insurance verification and precertification's, when appropriate.
  • Responds to inquiries about the facility within facility policy timeframes.
  • Schedules/completes pre-admission assessments and communicates recommendations to patients or their family.
  • Collaborates with other facility medical and psychiatric personnel to ensure appropriate recommendations and admissions.
  • Performs ongoing assessments of physical/function, emotional, social, spiritual and financial needs of patients and implements crisis intervention and referral.
  • Provides education regarding healthcare and social resource systems to empower patients and their family to access resources independently.
  • Maintains all the documentation involved with the admissions process.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
  • Master's Degree from an accredited college or university in social work, counseling, psychology, mental health or a related field required. In some states, may also be a registered nurse, in which case, an associate's or bachelor's degree in nursing is required.
  • One or more years' experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
  • Experience in the managed care pre-certification process, level of care assessments and utilization preferred.
  • Experience in clinical interviewing, patient assessment, referral, treatment planning, communicating with external review organizations or comparable entities, and working effectively with people of diverse backgrounds.
  • Outstanding interpersonal and interviewing and assessment skills. Skill in telephone etiquette and paging procedures.

LICENSES/DESIGNATIONS/CERTIFICATIONS:
  • Current licensure, as required for the area of clinical specialty, i.e., current RN license, LCSW, LPC or other clinical counseling or therapy license, as designated by the state in which the facility operates.
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
  • First aid may be required based on state or facility requirements.

WORK LOCATION:
This position is onsite and is not a remote position.
SUPERVISORY REQUIREMENTS:
This position is an Individual Contributor.
Why The Pavilion at Williamsburg Place?The Pavilion at Williamsburg Place offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. The Pavilion at Williamsburg Place is an EOE.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
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About Summit BHC

Sourced by ZipRecruiter

Summit BHC, based in Franklin, TN, USA, is a recognized leader in the field of addiction treatment and behavioral health care services. The company operates a nationwide network of treatment centers aimed at caring for individuals battling substance abuse and mental health disorders. Summit BHC was established with the mission to provide high-quality, addiction treatment and behavioral health services to those in need throughout the United States. With compassion, dignity, and respect as their core values, they endeavor to instill hope during the journey to recovery and beyond.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Franklin, TN, US

Year founded

2013

Social media

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