Prior Authorization Specialist

Reposted 19 Days Ago
Be an Early Applicant
Huntington, WV, USA
In-Office
Junior
Healthtech • Telehealth
The Role
Obtain prior authorizations before services to reduce claim denials. Coordinate with providers, staff, and insurers; manage denials and complex cases; use Oracle/Cerner EHR; maintain productivity and accurate submissions.
Summary Generated by Built In
Job Summary & Responsibilities

Cabell Huntington Hospital is seeking a full-time Prior Authorization Specialist to work alongside our Pain Center. 


The Prior Authorization Specialist is to reduce the risk of claim denials by ensuring authorizations are obtained prior to service. 

Preferred Qualifications
  • Junior College/Technical School required. 
  • Bachelor's degree preferred. 
  • Certified Coding Associate (CCA) or Certified Professional Coder (CPC) preferred. 
  • One year of position-related experience required. 

The kind of position-related experience includes:

  • Basic medical terminology understanding
  • Good organizational and time management skills with strong attention to detail to ensure accurate and complete submissions
  • Effective communication skills for working with providers, staff, and insurance representatives
  • Critical thinking and problem-solving for handling denials and complex cases
  • Ability to work independently and maintain productivity in a fast-paced environment
  • Experienced with Oracle/Cerner EHR

Skills Required

  • Junior College/Technical School
  • Bachelor's degree
  • Certified Coding Associate (CCA) or Certified Professional Coder (CPC)
  • One year of position-related experience
  • Basic medical terminology understanding
  • Organizational and time management skills with attention to detail
  • Effective communication skills for working with providers, staff, and insurance representatives
  • Critical thinking and problem-solving for handling denials and complex cases
  • Ability to work independently and maintain productivity in a fast-paced environment
  • Experienced with Oracle/Cerner EHR
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The Company
1,100 Employees
Year Founded: 1985

What We Do

Marshall Health Network is a West Virginia-based not-for-profit academic health system that includes the Marshall Health physician practice; Cabell Huntington Hospital, St. Mary’s Medical Center, Hoops Family Children’s Hospital, HIMG and Rivers Health. It is committed to improving the health and well-being of over one million children and adults in 38 counties in West Virginia, southern Ohio and eastern Kentucky.

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