Prior Authorization Specialist
BOONE MEMORIAL HOSPITAL INC —Madison, WV
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply
9d
Patient Access Liaison - TEPEZZA - Roanoke, VA
Amgen —Charleston, WV
- $158,394 - $222,256 a year
- Weekends as needed
- Nursing
- Doctoral degree
- Up to 50% travel
- Disability insurance
- Health insurance
Patient Accounts Insurance Verification Specialist -- Central Scheduling -- Document Center Building
Mon Health —Charleston, WV
- Overtime
- Customer service
- Mid-level
- Office
Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center
CAMC Health System —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center
Mon Health —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Referral Specialist
THOM Thomas Hospitals —Charleston, WV
- Full-time
- Computer literacy
- Writing skills
- Mid-level
14d
Central Placement Specialist
CommuniCare Health Services Corporate —Charleston, WV
- $21 an hour
- Full-time
- Medical office experience
- Mid-level
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Pre-Certification Specialist -- CAMC G.I. -- Chesterfield Bldg- 2
CAMC Health System —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Patient Accounts Insurance Verification Specialist -- Central Scheduling -- Document Center Building
CAMC Health System —Charleston, WV
- Overtime
- Customer service
- Mid-level
- Office
Pre-Certification Specialist -- Orthopedics Northgate -- Northgate-100 Tracy Way
CAMC Health System —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
2d
Pre-Certification Specialist -- CAMC G.I. -- Chesterfield Bldg- 2
Mon Health —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Pre-Certification Specialist -- Pediatrics at WCH -- WCH-MSOB
CAMC Health System —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Pediatrics
Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital
Mon Health —Charleston, WV
- Overtime
- Microsoft Excel
- Hospital
- Customer service
Pre-Certification Specialist -- CAMC Urology -Teays Valley -- Teays Valley-3948 Teays Valley Rd.
CAMC Health System —Hurricane, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
2d
Billing Specialist
FamilyCare Health Centers —Scott Depot, WV
- Full-time
- Ability to walk for extended periods
- Office
- High school diploma or GED
Quick Apply
Registration Specialist-Patient Access
THOM Thomas Hospitals —South Charleston, WV
- Full-time
- Hospital
- High school diploma or GED
- Criminal background check
10d
Pre-Certification Specialist -- CAMC Urology -Teays Valley -- Teays Valley-3948 Teays Valley Rd.
Mon Health —Hurricane, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
8d
Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital
CAMC Health System —Charleston, WV
- Overtime
- Microsoft Excel
- Hospital
- Customer service
Registration Specialist-Primary Care Chestnut Street
THOM Thomas Hospitals —South Charleston, WV
- Full-time
- Primary Care
- High school diploma or GED
- Criminal background check
Registration Specialist - OB/GYN II
THOM Thomas Hospitals —South Charleston, WV
- Full-time
- Hospital
- High school diploma or GED
- Ob/Gyn
3d

I want to receive the latest job alert for authorization specialist in charleston wv

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

authorization specialist jobs near charleston wv

Referral Specialist jobs in Charleston, WV

Behavior Intervention Specialist jobs in Dallas, TX

Registration Specialist jobs in Georgia

Registration Specialist jobs in Columbia, MD

Registration Specialist jobs in Bolingbrook, IL

Registration Specialist jobs in Princeton, WV

Prior Authorization Specialist jobs in California

Prior Authorization Specialist jobs in Albany, NY

Prior Authorization Specialist jobs in Fort Myers, FL

No Work Authorization Needed jobs in New York, NY

Project Specialist jobs in Remote

Prior Authorization Specialist jobs in Washington, DC

Prior Authorization Specialist jobs in Fort Worth, TX

Remote Intake Specialist jobs in Los Angeles, CA

Insurance Verification Specialist jobs in Crown Point, IN

Insurance Verification Specialist jobs in Sacramento, CA

Insurance jobs in Vancouver, WA

Health Insurance jobs in Buffalo, NY

Insurance Verification Specialist jobs in Bryan, TX

Insurance Verification Specialist jobs in Daytona Beach, FL

Prior Authorization Specialist

BOONE MEMORIAL HOSPITAL INC -
Madison, WV

Quick Apply

Job Details

Full-time
9 days ago

Qualifications

Computer operation
Customer communication
High school diploma or GED
Productivity software

Full Job Description

Boone Memorial Health is seeking a detail-oriented and organized Prior Authorization Specialist to join our Referral Department. This position plays a critical role in supporting patient care by coordinating referrals, obtaining prior authorizations, scheduling appointments, and ensuring all required documentation is complete and accurate.

The Prior Authorization Specialist serves as a liaison between patients, providers, specialists, and healthcare teams to facilitate timely access to services and promote a positive patient experience.

Essential Duties and Responsibilities

Receive, process, schedule, and follow up on referrals for diagnostic testing, specialists, and other healthcare services.
Obtain and process prior authorizations and required documentation.
Maintain accurate referral logs and patient records.
Coordinate appointments and communicate with patients, providers, and specialists.
Answer phones, emails, and faxes in a timely and professional manner.
Review referrals for completeness and accuracy, ensuring all necessary coding, physician notes, and supporting documentation are included.
Enter patient information into electronic medical records and other required systems.
Share patient information with referring specialists in accordance with HIPAA guidelines.
Maintain current knowledge of ICD-10 and CPT coding practices.
Collaborate effectively with providers and other departments to support quality patient care.
Comply with all organizational policies, regulatory requirements, and ethical business practices.

Qualifications

High school diploma or equivalent.
Excellent verbal and written communication skills.
Strong organizational, analytical, and problem-solving abilities.
Ability to manage multiple priorities in a fast-paced environment.
Proficiency with Microsoft Office and computer systems.
Associate degree in Medical Office Administration or a related field preferred.
One or more years of experience in healthcare or a related field.
Knowledge of ICD-10 and CPT coding.

Physical Requirements

Prolonged periods of sitting and working at a computer.
Ability to lift up to 25 pounds as needed.

Why Join Boone Memorial Health?

At Boone Memorial Health, we are committed to providing exceptional care to our patients and community. We value teamwork, professionalism, and service excellence and strive to create a supportive environment where employees can grow and succeed.

Boone Memorial Health is an equal opportunity employer and is committed to creating an inclusive workplace for all employees and applicants.

Quick Apply

Refine Your Search

authorization specialist jobs in charleston wv

Prior Authorization Specialist

Patient Access Liaison - TEPEZZA - Roanoke, VA

Patient Accounts Insurance Verification Specialist -- Central Scheduling -- Document Center Building

Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center

Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center

Referral Specialist

Central Placement Specialist

Pre-Certification Specialist -- CAMC G.I. -- Chesterfield Bldg- 2

Patient Accounts Insurance Verification Specialist -- Central Scheduling -- Document Center Building

Pre-Certification Specialist -- Orthopedics Northgate -- Northgate-100 Tracy Way

Pre-Certification Specialist -- CAMC G.I. -- Chesterfield Bldg- 2

Pre-Certification Specialist -- Pediatrics at WCH -- WCH-MSOB

Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital

Pre-Certification Specialist -- CAMC Urology -Teays Valley -- Teays Valley-3948 Teays Valley Rd.

Billing Specialist

Registration Specialist-Patient Access

Pre-Certification Specialist -- CAMC Urology -Teays Valley -- Teays Valley-3948 Teays Valley Rd.

Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital

Registration Specialist-Primary Care Chestnut Street

Registration Specialist - OB/GYN II

I want to receive the latest job alert for authorization specialist in charleston wv

Related Searches

Explore jobs in more locations

Essential Duties and Responsibilities

Qualifications

Physical Requirements

Why Join Boone Memorial Health?

Job Seeker Tools

Employer Tools

Browse

Stay Connected