Marshall Health Network

Prior Authorization Specialist

Marshall Health Network  •  Huntington, WV (Onsite)  •  2 months ago
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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
Marshall Health Network

About Marshall Health Network

Marshall Health Network, Inc. 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. We are 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 through understanding, respecting and meeting their needs.

Industry
Healthcare & Social Services
Company Size
51-200 employees
Headquarters
Huntington, West Virginia
Year Founded
2024
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