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VA Authorization Specialist

Full-time

Revecore

At Revecore, our work helps hospitals recover the revenue they've earned so they can continue serving patients and communities. Trusted by more than 1,300 hospitals across 48 states, we combine specialized expertise with proprietary technology to solve problems others can't. Just as importantly, we've built a workplace where people support one another, embrace innovation, and are trusted to do their best work.

Position Summary

The VA Emergency Care Authorization Specialist is responsible for notifying the Department of Veterans Affairs (VA) of emergency room visits for assigned hospital clients through the VA Emergency Care Reporting Form. This position prioritizes timely submission within the required 72-hour notification window, monitors responses, follows up on authorization requests, and accurately updates client systems.

The specialist works closely with hospital contacts and internal teams to obtain necessary information, resolve missing documentation, and maintain accurate records throughout the notification and authorization process. Additional eligibility verification duties may be assigned based on department needs.

Key Responsibilities

This position submits emergency care notifications and coordinates authorization follow-up. VA determines authorization and coverage; submission confirmation must be documented separately from a confirmed authorization.

  • Review assigned work queues, reports, and referrals to identify emergency room visits requiring VA notification.

  • Complete and submit the VA Emergency Care Reporting Form within 72 hours of the start of emergency treatment.

  • Verify the patient, facility, and treatment information needed to submit a complete and accurate notification.

  • Prioritize accounts based on the notification deadline and promptly escalate accounts received late or at risk of missing the deadline.

  • Document submission dates, confirmation or reference numbers, and supporting information in the appropriate systems.

  • Monitor designated inboxes, portals, and work queues for VA responses and requests for additional information.

  • Follow up on pending authorization requests and coordinate with VA representatives and hospital contacts as needed.

  • Enter confirmed authorization numbers and applicable details into designated fields in the client system.

  • Maintain clear account notes documenting actions taken, current status, outstanding information, and next steps.

  • Communicate authorization outcomes and unresolved issues to the appropriate internal team or hospital contact.

  • Follow client-specific procedures for system updates, documentation, and account routing.

  • Assist with eligibility verification and related duties as assigned while maintaining priority on time-sensitive VA notifications.

  • Protect patient information and follow HIPAA, company, and client confidentiality requirements.

Performance Expectations

  • Timely and accurate submission of VA emergency care notifications.

  • Complete documentation of submissions, responses, and follow-up actions.

  • Accurate and timely updates to client systems.

  • Consistent follow-up on pending requests.

  • Prompt escalation of missing information, access issues, and deadline risks.

  • Achievement of established department quality and productivity standards.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Work Experience & Skills

Required Qualifications

  • Strong attention to detail and accurate data-entry skills.

  • Ability to prioritize time-sensitive work and manage multiple accounts and deadlines.

  • Strong written and verbal communication skills.

  • Ability to navigate multiple systems, online portals, email, and spreadsheets.

  • Ability to work independently, follow established procedures, and promptly escalate barriers.

Preferred Qualifications — Not Required

The following experience is a plus, but is not required for consideration:

  • Experience in healthcare registration, insurance eligibility, authorization requests, medical billing, or revenue cycle operations.

  • Familiarity with VA healthcare benefits and emergency care notification processes.

  • Experience using hospital systems such as Epic or Cerner.

  • Experience communicating with hospitals, payers, or government healthcare programs.

Physical Demands and Work Environment

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Physical Demands: While performing the duties of this job, the employee is occasionally required to walk; sit; use hands to handle or feel objects, tools or controls; reach with hands and arms; balance; stoop; talk or hear. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

  • Work Environment: While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. The noise level in the work environment is usually moderate.

Work at Home Requirements:

  • A private, distraction-free environment to work within your home

  • On-Camera Presence: Being on camera is an essential part of our culture--it helps build trust, support collaboration, and strengthen team connections

  • A secure internet connection

  • Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads

  • Revecore will provide you with your equipment - your workspace area must accommodate all workstation equipment (laptop, monitor, keyboard, mouse, docking station, and headset)

  • Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check

Must reside in the United States within one of the states listed below:

Alabama, Arkansas, Connecticut, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, and West Virginia.

#LI-DNI

Revecore is an Affirmative Action/Equal Opportunity Employer committed to providing equal employment opportunities for all applicants and employees. We make employment decisions without regard to any characteristic protected by applicable law and encourage individuals of all backgrounds to apply.

Employment is contingent upon eligibility to work in the United States, verification of employment history, and successful completion of a background check.

Vacancy posted 2 days ago
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