What are the responsibilities and job description for the Prior Authorization Specialist position at Cabell Huntington Hospital/St. Mary?
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