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Prior Authorization Specialist

Marshall Health Network
Posted 5 months ago, valid for 12 days
Location

Huntington, WV 25710, US

Salary

Competitive

Contract type

Full Time

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Sonic Summary

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  • Cabell Huntington Hospital is looking for a full-time Prior Authorization Specialist to join their Pain Center team.
  • The role focuses on minimizing claim denials by ensuring necessary authorizations are secured before services are rendered.
  • Candidates should have at least one year of relevant experience, with a junior college or technical school education required, and a bachelor's degree preferred.
  • Preferred qualifications include a Certified Coding Associate (CCA) or Certified Professional Coder (CPC) certification, alongside skills in medical terminology, organization, and communication.
  • The position offers a competitive salary, although the specific amount is not disclosed in the job description.

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. 

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



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