Insurance Authorization Specialist - Streamline Care Access

United Hospital Center; Bridgeport (WV); On-site; USD 32,000 - 42,000; Full time

Job summary

United Hospital Center is seeking a Cost Center professional to ensure all appointments and procedures are authorized and verified with insurance carriers. The role includes calculating self-pay portions, following up on denials, and documenting authorizations in EPIC.

The position emphasizes strong communication, accurate billing, and knowledge of ICD-10/CPT coding to minimize reimbursement errors and improve front-end collections.

Qualifications

• High school diploma or equivalent.
• State and federal background checks as required for regulated areas.
• Previous insurance authorization experience preferred.

Responsibilities

• Identifies patients needing pre-certification or pre-authorization at time of service request.
• Follows up on accounts flagged by the system.
• Contacts insurance companies to determine eligibility and benefits for requested services.
• Assists in resolving insurance coverage issues to secure financial clearance.
• Uses EPIC queues for scheduling, care transition, and billing edits.
• Performs medical necessity screening per third-party payors.
• Documents referrals/authorization/certification numbers in EPIC.
• Calculates anticipated charges and communicates self-pay portions to patients.

Skills

Communication skills

Medical terminology

ICD-10/CPT coding

Billing and math

Customer service

Typing 25 wpm

Reading/comprehension

Education

High school diploma or equivalent

Tools

EPIC system

Job description

United Hospital Center is seeking a Cost Center professional to ensure all appointments and procedures are authorized and verified with insurance carriers. The role includes calculating self-pay portions, following up on denials, and documenting authorizations in EPIC.

The position emphasizes strong communication, accurate billing, and knowledge of ICD-10/CPT coding to minimize reimbursement errors and improve front-end collections.