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Intake Prior Authorization Jobs in Virginia (NOW HIRING)

Compass Health Center

Intake Therapist

Falls Church, VA · On-site

$77K - $98K/yr

... training prior to launching for patients, and will be 100% onsite at our Falls Church location ... authorizations * Facilitate group therapy and family therapy, as needed (e.g., when intake census ...

Summit BHC

Intake RN

Williamsburg, VA · On-site

$65 - $85/hr

Intake RN | The Pavilion at Williamsburg Place | Williamsburg, VirginiaAbout the Job:Purpose ... prior to patient admission and secures initial pre-authorization for treatment and admission.

New

Summit BHC

Intake RN

Williamsburg, VA · On-site

Intake RN | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: PURPOSE ... prior to patient admission and secures initial pre-authorization for treatment and admission.

Better Morning, Inc.

Care Coordinator

Ashburn, VA

Schedule consumer for intake * Create consumers profile in credible * Prior medical billing experience required to perform obtain prior-authorizations * Check the voice messages, save or delete as ...

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Intake Prior Authorization information

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 the key skills and qualifications needed to thrive as an intake prior authorization specialist?

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 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 August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Pharmacist, Clinical Specialist - Infectious Diseases

Carilion Clinic

Roanoke, VA • On-site

$118K - $190K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Carilion Clinic rating

6.8

Company rating: 6.8 out of 10

Based on 217 frontline employees who took The Breakroom Quiz

498th of 898 rated healthcare providers

Job description

Employment Status:
Full timeShift:
Day (United States of America)Facility:
4336 Electric Rd - RoanokeRequisition Number:
R162245 Pharmacist, Clinical Specialist - Infectious Diseases (Open)How You'll Help Transform Healthcare:
$30,000 Sign-on Bonus
$10,000 Relocation Assistance
Clinical Pharmacist for Infectious Diseases
Assist ID clinic with the following:
  • managing OPAT
  • managing patients with HIV & HepC
  • assist in medication procurement for patients in the ID clinic

Support the Specialty Pharmacy:
  • Dispenses medications and reviews and verifies medication orders for accuracy.
  • Assures accurate delivery of medications in a timely manner.
  • Oversees billing of specialty medications including, verification of insurance, and benefits for Specialty Pharmacy services - inclusive of new referrals and therapy changes, adjudication of claims and obtaining the initial authorization for medications from commercial insurers.
  • Oversees completion of prior authorizations, appeals on behalf of patients and providers, and oversee the dispensing of medications to patients in a timely manner.
  • Works with patients, coordinators, pharmacy technicians, pharmacy support liaisons and other clinical teams to ensure that required clinical documentation is obtained prior to acceptance onto service.
  • Documents encounters and pertinent information into the software systems used by Carilion and the specialty pharmacy.
  • Provides counseling to patients and caregivers on disease states and medications used to treat them.
  • Develops goals for care and actively works with patients towards meeting care goals.
  • Works with patients and providers to optimize therapeutic outcomes.
  • Works with pharmacy support liaisons (PSLs) who provide initial patient set up to establish account with the specialty program.
  • Accesses care management documentation systems for data entry and to support the existing programs and processes by collecting information, utilizing appropriate department policies, procedures and guidelines specific to members' eligibility, benefits and contracts.
  • Performs intake of service requests from providers or members received electronically, or via telephone or fax.
  • Engages with patients via telephone during the onboarding process and periodically throughout the course of the patient's therapy.
  • Improves patient service experience and may provision prior authorization services on behalf of patients needing high-cost medications.
  • Conducts patient insurance, benefits and financial investigation and verification by directly communicating with patients. Completes initial and renewal prior authorization forms, negotiate authorization status with insurers, track status of medication approval, and when necessary, alert stakeholders of denials or nonresponse.
  • Assists with the development and implementation of policies and procedures to ensure reimbursement of high-cost medications and maintenance of all accreditation standards.
  • Facilitates staff training and competency, education and practice advancement.
  • Maintains a training and competency program for all staff that meets accreditation standards.
  • Coordinates with Pharmacy leadership to develop training experiences/competencies.
What We Require:
Education: Must be a graduate of a College of Pharmacy accredited by the Accreditation Council for Pharmacy Education (ACPE).
Experience: ASHP-accredited Pharmacy Practice Residency or 3 years of experience in clinical pharmacy.
Licensure, Certification, and/or Registration: License to practice Pharmacy in the Commonwealth of Virginia required within 90 days of hire. During the first 90 days of employment and the licensure application process, pharmacists without a valid license to practice pharmacy in the Commonwealth of Virginia may not perform duties restricted to a licensed pharmacist until the license is obtained. If the license is not obtained within 90 days of employment, the employee may be subject to separation from Carilion Clinic.
Other Minimum Qualifications: Must possess good leadership, communication, interpersonal and teamwork skills. Must be able to effectively budget time, work efficiently and accurately, and follow procedures with minimum supervision. Excellent critical thinking and analytical skills. Work requires knowledge of general office equipment and procedures including computer and keyboarding skills.
This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.
Compensation Range:
$118,788.80 - $190,070.40
Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.
Recruiter:
Dave Niven
Recruiter Email:
dlniven@carilionclinic.org
For more information, contact the HR Service Center at 1-800-599-2537.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.
For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies
Benefits, Pay and Well-being at Carilion Clinic
Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away.
When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:
  • Comprehensive Medical, Dental, & Vision Benefits
  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Personify Health
  • Discounts on childcare
  • Continued education and training

What Carilion Clinic employees say

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About Carilion Clinic

Sourced by ZipRecruiter

This is Carilion Clinic ... An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious. Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute. Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Roanoke, VA, US

Year founded

1899

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