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Remote Prior Authorization Supervisor Jobs in Virginia

Sentara Healthcare

Authorization Coordinator

Norfolk, VA · On-site +1

$18 - $22.25/hr

Validates accuracy of insurance enrollment information in the system prior to authorizing services ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

Conducts primary functions of prior authorization, retrospective review, medical director referrals ... For positions that are available as remote work, Sentara Health employs associates in the following ...

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Remote Prior Authorization Supervisor information

What does a remote prior authorization supervisor do?

A Remote Prior Authorization Supervisor oversees the team responsible for reviewing and processing prior authorization requests for medical procedures, medications, or treatments, all while working remotely. They ensure compliance with healthcare regulations, monitor staff performance, and streamline workflows to facilitate timely authorizations. Their role also involves training staff, resolving complex cases, and acting as a liaison between providers, payers, and patients to ensure authorization requirements are met efficiently.

What are some common challenges faced by a remote prior authorization supervisor, and how can they be addressed?

A Remote Prior Authorization Supervisor often encounters challenges such as coordinating a dispersed team, maintaining consistent communication, and ensuring adherence to compliance standards across various regions. To address these, supervisors can implement regular virtual meetings, utilize collaborative workflow platforms, and provide ongoing training to keep the team updated on policy changes. Establishing clear protocols for documentation and escalation also helps maintain efficiency and quality in the prior authorization process.

What are the key skills and qualifications needed to thrive as a remote prior authorization supervisor, and why are they important?

To thrive as a Remote Prior Authorization Supervisor, you need a solid background in healthcare administration, insurance processes, and prior authorization procedures, often supported by a degree in health sciences or related fields and relevant experience. Familiarity with healthcare management software, electronic medical records (EMRs), and payer authorization portals is usually required, along with certification such as Certified Prior Authorization Specialist (CPAS) being a plus. Strong leadership, problem-solving abilities, and effective communication are crucial soft skills for managing remote teams and resolving authorization challenges. These skills and qualities ensure timely, accurate authorizations, team productivity, and compliance with regulatory standards in a virtual work environment.

What is the difference between Remote Prior Authorization Supervisor vs Remote Prior Authorization Coordinator?

AspectRemote Prior Authorization SupervisorRemote Prior Authorization Coordinator
CredentialsTypically requires relevant healthcare certifications, experience in insurance or healthcare administrationUsually requires similar certifications, often with less managerial experience
Work EnvironmentSupervises teams, manages workflows, and ensures compliance in healthcare or insurance settingsHandles authorization requests, reviews documentation, and communicates with providers and patients
Employer & Industry UsageCommonly employed by health insurance companies, healthcare providers, and third-party administratorsFound in similar settings, focusing on processing and coordinating prior authorizations

The main difference between a Remote Prior Authorization Supervisor and a Coordinator lies in their responsibilities. Supervisors oversee teams and workflows, while Coordinators focus on processing authorization requests. Both roles require healthcare knowledge and certifications, but supervisors typically have more leadership duties.

What are the most commonly searched types of Prior Authorization Supervisor jobs in Virginia?

The most popular types of Prior Authorization Supervisor jobs in Virginia are:

What are popular job titles related to Remote Prior Authorization Supervisor jobs in Virginia?

For Remote Prior Authorization Supervisor jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Supervisor jobs in Virginia look for?

The top searched job categories for Remote Prior Authorization Supervisor jobs in Virginia are:

What cities in Virginia are hiring for Remote Prior Authorization Supervisor jobs?

Cities in Virginia with the most Remote Prior Authorization Supervisor job openings:

Remote Prior Authorization Supervisor jobs near you
Infographic showing various Remote Prior Authorization Supervisor job openings in Virginia as of August 2026, with employment types broken down into 75% Full Time, 19% Part Time, and 6% Contract. Highlights an 100% Remote job distribution.

Reimbursement Specialist Supervisor - Remote

Richmond, VA • On-site, Remote

VCU Health
Health Care and Social Assistance • 10K+ employees
Learn more about VCU Healthexternal

$25.03 - $38.79/hr

Full-time

Re-posted 7 days ago

VCU Health rating

7.3

Company rating: 7.3 out of 10

Based on 172 frontline employees who took The Breakroom Quiz

305th of 898 rated healthcare providers

Job description

**Remote to Virginia ONLY! Must have active VA Pharmacy and PTCB license in good standing**
The Reimbursement Specialist Supervisor oversees the daily operations of the Reimbursement Specialist team to ensure timely and accurate processing of prior authorizations, insurance follow-ups, and patient assistance program requests pertaining to high-cost medications that require prior authorization. This role provides guidance, coaching, and performance management for team members, while supporting workflow optimization and departmental revenue collection goals.
Essential Job Statements
  • Supervise, coordinate, and prioritize the workflow of Reimbursement Specialists across multiple clinics.
  • Provide direct line supervision for Reimbursement Specialists, including performance evaluations, disciplinary action, time/attendance, coordination of staff activities, or other work as needed. Conduct hiring, interviewing, onboarding, and training of new employees.
  • Monitor team productivity and compliance with turnaround times, providing feedback and coaching as needed.
  • Facilitate training and onboarding of new Reimbursement Specialists.
  • Review complex or escalated prior authorizations and appeals, ensuring appropriate documentation and
  • compliance with insurance and regulatory requirements.
  • Collaborate with providers, nursing staff, and the Patient Assistance Program (PAP) team to ensure patients receive timely access to medications.
  • Identify process improvements to optimize team efficiency and patient care outcomes.
  • Prepare and review reports on team performance, Patient Assistance (PA) approvals/denials, and workload metrics.
  • Ensure compliance with departmental and health system policies and regulatory requirements.
  • Participate in special projects and cross-functional initiatives as assigned.
  • Serve as a point of contact for internal and external escalations related to PAs, appeals, or patient access concerns.
  • Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS and the Department. Provides assistance to team members. Accepts alternate assignments, as required.

Patient Population
Not applicable to this position.
Employment Qualifications
Required Education:
High School Diploma or equivalent
Preferred Education:
Associate's Degree or higher in Business, Healthcare Administration, or related field
Licensure/Certification Required:
Current certification by the Pharmacy Technician Certification Board (PTCB) Current licensure with the Virginia State Board of Pharmacy
Licensure/Certification Preferred:
Additional supervisory or leadership certifications a plus
Minimum Qualifications
Years and Type of Required Experience •
Minimum of three (3) years of experience as a Reimbursement Specialist or equivalent role
Previous experience supervising or mentoring staff
Other Knowledge, Skills and Abilities Required:
Strong knowledge of PAPs, prior authorizations, and insurance benefit investigations
Proficiency in EMR systems and Microsoft Office
Cultural Responsiveness
Other Knowledge, Skills and Abilities Preferred:
Strong leadership and communication skills
Ability to handle multiple priorities and high-volume workload
Working Conditions
Periods of high stress and fluctuating workloads may occur.
General office environment.
May be exposed to high noise levels and bright lights.
May have periods of constant interruptions.
Prolonged periods of working alone.
Physical Requirements
Physical Demands: Lifting/ Carrying (0-50 lbs.), Bending
Work Position: Sitting, Walking, Standing
Additional Physical Requirements/ Hazards
Physical Requirements: Manual dexterity (eye/hand coordination), Perform shift work, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity - far, Acuity - near
Hazards:
Mental/Sensory - Emotional
Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking
Emotional: Fast-paced environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change
Compensation Range
$25.03 - $38.79
Actual salary offers will be based on several key factors to include relevant work experience, credentials, and qualifications.
EEO Employer/Disabled/Protected Veteran

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