Prior Authorization Specialist

Reposted 18 Days Ago
Be an Early Applicant
Huntington, WV, USA
In-Office
Junior
Industrial • Manufacturing
The Role
Obtain prior authorizations to prevent claim denials for the Pain Center. 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
  • Good organizational and time management skills with strong 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
96 Employees
Year Founded: 1990

What We Do

Carter Holt Harvey is one of Australasia's leading forest products companies, specializing in the production of timber, laminated veneer lumber (LVL), and plywood. With over 150 years of experience, the company serves as a trusted supplier of structural and outdoor timber for residential and commercial construction throughout New Zealand and Australia, primarily operating through its various specialized business units.

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