CMA - Authorization Specialist Careers at WVU Medicine - Parkersburg, West Virginia | Apply Now!
WVU Medicine
CMA - Authorization Specialist Careers at WVU Medicine - Parkersburg, West Virginia | Apply Now!
Job Description
CMA - Authorization Specialist at WVU Medicine
Role Overview
The Certified Medical Assistant (CMA) - Authorization Specialist at WVU Medicine plays a crucial role in ensuring patients receive the necessary medical care by obtaining proper authorizations from insurance providers. This position combines clinical knowledge with administrative skills, requiring a detail-oriented individual with excellent communication and organizational abilities. The CMA - Authorization Specialist works closely with healthcare providers, insurance companies, and patients to navigate the complex authorization process, ensuring timely approvals and minimizing disruptions to patient care.
Day in the Life
A typical day for a CMA - Authorization Specialist involves a variety of tasks centered around patient care and administrative duties. In the morning, the CMA might begin by reviewing scheduled appointments to identify patients requiring pre-authorization for specific procedures or treatments. They will then gather the necessary medical documentation from patient charts, ensuring all information is accurate and complete. The CMA will submit authorization requests to insurance companies, either online or via phone, and diligently track the status of each request. Throughout the day, they will communicate with insurance representatives to address any questions or concerns, resolving issues to expedite the authorization process. They also communicate directly with patients to inform them of authorization status, explain any out-of-pocket costs, and address their concerns. The CMA will also work closely with physicians and other healthcare staff to ensure that all clinical documentation supports the authorization requests. Other responsibilities include maintaining accurate records, updating patient information, and assisting with other administrative tasks as needed.
Why Parkersburg, West Virginia?
Parkersburg, West Virginia, offers a unique blend of small-town charm and access to larger regional amenities. Nestled along the scenic Ohio River, Parkersburg provides a peaceful and affordable living environment. WVU Medicine Camden Clark Medical Center is a vital part of the Parkersburg community, offering comprehensive healthcare services to the region. Working in Parkersburg allows healthcare professionals to make a meaningful impact on the lives of local residents while enjoying a lower cost of living and a relaxed lifestyle. The area also boasts outdoor recreational opportunities, including hiking, fishing, and boating, making it an ideal location for those who enjoy nature. With a strong sense of community and a welcoming atmosphere, Parkersburg provides a supportive environment for both personal and professional growth.
Career Path
The CMA - Authorization Specialist position serves as a stepping stone to various career paths within WVU Medicine. With experience and continued education, a CMA can advance to roles such as a Senior Authorization Specialist, where they may oversee a team of CMAs and handle more complex authorization cases. They can also pursue certifications in medical coding or billing, leading to positions such as Medical Coder or Billing Specialist. Additionally, the clinical experience gained as a CMA can pave the way for further education in nursing or other allied health professions. WVU Medicine supports employee growth and development, offering opportunities for training, mentorship, and career advancement.
Salary & Benefits
The salary for a CMA - Authorization Specialist at WVU Medicine is competitive and commensurate with experience and qualifications. In addition to a competitive salary, WVU Medicine offers a comprehensive benefits package, including health insurance (medical, dental, vision), paid time off (PTO), retirement savings plans with employer matching contributions, life insurance, disability coverage, and flexible spending accounts. WVU Medicine also provides access to employee assistance programs, wellness programs, and tuition reimbursement or assistance for continuing education. These benefits contribute to a positive work-life balance and support employees' overall well-being.
WVU Medicine Culture
WVU Medicine is committed to providing high-quality, patient-centered care in a supportive and collaborative environment. The organization values teamwork, respect, and continuous improvement. Employees are encouraged to share their ideas and contribute to the organization's mission of improving the health and well-being of the communities it serves. WVU Medicine fosters a culture of diversity and inclusion, recognizing the importance of creating a welcoming and equitable workplace for all. The organization also emphasizes professional development, offering opportunities for training, mentorship, and career advancement. WVU Medicine is dedicated to creating a positive and rewarding work environment where employees can thrive.
How to Apply
To apply for the CMA - Authorization Specialist position at WVU Medicine, please visit the WVU Medicine Careers website. Search for the job title “CMA - Authorization Specialist” and the location “Parkersburg, West Virginia.” Click on the job posting and follow the instructions to submit your application. Be sure to include a resume and cover letter highlighting your qualifications and experience. If you have any questions or need assistance with the application process, please contact the WVU Medicine Human Resources department.
FAQ
- What are the essential duties of a CMA - Authorization Specialist? The essential duties include verifying patient insurance, obtaining authorizations for procedures, and communicating with insurance companies.
- What qualifications are necessary for this role? Necessary qualifications include a high school diploma, CMA certification, and strong communication skills.
- What is the typical salary range for this position? The typical salary range is $30,000 to $45,000 annually, depending on experience and qualifications.
- What benefits does WVU Medicine offer its employees? WVU Medicine offers health insurance, PTO, retirement plans, and tuition reimbursement.
- What opportunities for career advancement are available? Opportunities include roles in medical coding, billing, and nursing with continued education.
- Where is the job located? The job is located at the Camden Clark IS Building in Parkersburg, West Virginia.
- How can I apply for this position? You can apply through the WVU Medicine Careers website.
- What is the work environment like? The work environment is collaborative, with a focus on patient-centered care.
- What skills are essential for this role? Essential skills include communication, organization, and knowledge of medical terminology.
- Is prior experience in healthcare required? Prior healthcare experience is preferred but not always required.
Locations
- Parkersburg, West Virginia, United States
Salary
33,000 - 49,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Basic nursing skillsintermediate
- Patient greeting and escortingintermediate
- Exam room preparationintermediate
- Vital signs measurementintermediate
- Assisting with exams and proceduresintermediate
- Appointment schedulingintermediate
- Referral contact setupintermediate
- Patient educationintermediate
- Quality control testingintermediate
- Medical equipment maintenanceintermediate
- Medical documentation assistanceintermediate
- Effective communicationintermediate
- Adaptabilityintermediate
- Software application proficiencyintermediate
- Organization and prioritizationintermediate
- Independent workintermediate
- Teamworkintermediate
- Authorization processesintermediate
- Insurance verificationintermediate
- Pre-authorization requirementsintermediate
- Medical coding knowledgeintermediate
- ICD-10 proficiencyintermediate
- CPT codingintermediate
- HIPAA complianceintermediate
- Patient confidentialityintermediate
- Data entryintermediate
Required Qualifications
- High School Diploma or equivalent (experience)
- Current National Certification as Certified Medical Assistant (CMA) (experience)
- Basic Life Support (BLS) certification within 30 days of hire (experience)
- Graduate of an accredited Medical Assistant Program (Preferred) (experience)
- One (1) year of healthcare experience (Preferred) (experience)
- Knowledge of medical terminology (experience)
- Understanding of clinical procedures (experience)
- Familiarity with electronic health records (EHR) (experience)
- Ability to maintain patient confidentiality (experience)
- Strong interpersonal skills (experience)
- Excellent communication skills, both verbal and written (experience)
- Ability to work effectively in a team environment (experience)
- Proficiency in using computer systems and software (experience)
- Ability to prioritize tasks and manage time effectively (experience)
- Ability to adapt to changing work environments and patient needs (experience)
- Understanding of medical insurance processes (experience)
- Knowledge of authorization requirements and procedures (experience)
- Familiarity with pre-authorization processes (experience)
Responsibilities
- Greet and escort patients to exam rooms, ensuring a comfortable and welcoming environment.
- Prepare patients for provider visits by obtaining initial information, including medical history, current medications, and vital signs.
- Prepare exam rooms for patients, ensuring cleanliness and availability of necessary supplies and equipment.
- Assist with and/or perform exams, tests, and procedures under the direction of the physician, advanced practice professional, or registered nursing staff.
- Schedule appointments and set up referral contacts as needed, coordinating with other healthcare providers and departments.
- Assist providers during patient examinations and procedures, providing support and ensuring a smooth process.
- Educate patients on follow-up expectations, providing clear and concise instructions for continued care.
- Maintain quality control testing logs as required, ensuring accuracy and compliance with regulatory standards.
- Ensure all medical equipment is in proper working condition, reporting any issues or malfunctions to the appropriate personnel.
- Assist patients with the completion of medical documentation, providing guidance and support as needed.
- Verify patient insurance coverage and obtain necessary authorizations for procedures and treatments.
- Maintain accurate and up-to-date patient records, ensuring compliance with HIPAA regulations and maintaining patient confidentiality.
- Process pre-authorization requests for medications, procedures, and referrals in a timely manner.
- Communicate with insurance companies to resolve authorization issues and ensure timely approvals.
- Collaborate with providers and other healthcare staff to ensure accurate and complete documentation for authorization purposes.
- Stay up-to-date on changes in insurance regulations and authorization requirements.
- Assist with other administrative tasks as needed to support the efficient operation of the practice.
- Monitor authorization status and follow up on pending requests to prevent delays in patient care.
- Maintain a thorough understanding of medical coding (ICD-10, CPT) and billing procedures to ensure accurate authorization processing.
- Provide excellent customer service to patients and insurance representatives, addressing inquiries and resolving issues in a professional and courteous manner.
Benefits
- general: Comprehensive health insurance plans (medical, dental, vision)
- general: Generous paid time off (PTO) policy for vacation, sick leave, and holidays
- general: Retirement savings plan with employer matching contributions
- general: Life insurance and disability coverage
- general: Flexible spending accounts (FSA) for healthcare and dependent care expenses
- general: Employee assistance program (EAP) for confidential counseling and support
- general: Wellness programs and resources to promote employee health and well-being
- general: Tuition reimbursement or assistance for continuing education and professional development
- general: Opportunities for career advancement and growth within WVU Medicine
- general: Employee discounts on various products and services
- general: A supportive and collaborative work environment
- general: Access to state-of-the-art medical facilities and technology
- general: Commitment to diversity and inclusion
- general: Employee recognition programs to celebrate achievements and contributions
- general: Opportunities for community involvement and volunteer activities
- general: Professional development workshops and training sessions
- general: Employee referral bonus program
- general: On-site parking or transportation assistance
- general: Competitive salary and compensation packages
- general: Positive work-life balance
Tags & Categories
Answer 10 quick questions to check your fit for CMA - Authorization Specialist Careers at WVU Medicine - Parkersburg, West Virginia | Apply Now! @ WVU Medicine.
Related Books and Jobs
CMA - Authorization Specialist Careers at WVU Medicine - Parkersburg, West Virginia | Apply Now!
WVU Medicine
CMA - Authorization Specialist Careers at WVU Medicine - Parkersburg, West Virginia | Apply Now!
Job Description
CMA - Authorization Specialist at WVU Medicine
Role Overview
The Certified Medical Assistant (CMA) - Authorization Specialist at WVU Medicine plays a crucial role in ensuring patients receive the necessary medical care by obtaining proper authorizations from insurance providers. This position combines clinical knowledge with administrative skills, requiring a detail-oriented individual with excellent communication and organizational abilities. The CMA - Authorization Specialist works closely with healthcare providers, insurance companies, and patients to navigate the complex authorization process, ensuring timely approvals and minimizing disruptions to patient care.
Day in the Life
A typical day for a CMA - Authorization Specialist involves a variety of tasks centered around patient care and administrative duties. In the morning, the CMA might begin by reviewing scheduled appointments to identify patients requiring pre-authorization for specific procedures or treatments. They will then gather the necessary medical documentation from patient charts, ensuring all information is accurate and complete. The CMA will submit authorization requests to insurance companies, either online or via phone, and diligently track the status of each request. Throughout the day, they will communicate with insurance representatives to address any questions or concerns, resolving issues to expedite the authorization process. They also communicate directly with patients to inform them of authorization status, explain any out-of-pocket costs, and address their concerns. The CMA will also work closely with physicians and other healthcare staff to ensure that all clinical documentation supports the authorization requests. Other responsibilities include maintaining accurate records, updating patient information, and assisting with other administrative tasks as needed.
Why Parkersburg, West Virginia?
Parkersburg, West Virginia, offers a unique blend of small-town charm and access to larger regional amenities. Nestled along the scenic Ohio River, Parkersburg provides a peaceful and affordable living environment. WVU Medicine Camden Clark Medical Center is a vital part of the Parkersburg community, offering comprehensive healthcare services to the region. Working in Parkersburg allows healthcare professionals to make a meaningful impact on the lives of local residents while enjoying a lower cost of living and a relaxed lifestyle. The area also boasts outdoor recreational opportunities, including hiking, fishing, and boating, making it an ideal location for those who enjoy nature. With a strong sense of community and a welcoming atmosphere, Parkersburg provides a supportive environment for both personal and professional growth.
Career Path
The CMA - Authorization Specialist position serves as a stepping stone to various career paths within WVU Medicine. With experience and continued education, a CMA can advance to roles such as a Senior Authorization Specialist, where they may oversee a team of CMAs and handle more complex authorization cases. They can also pursue certifications in medical coding or billing, leading to positions such as Medical Coder or Billing Specialist. Additionally, the clinical experience gained as a CMA can pave the way for further education in nursing or other allied health professions. WVU Medicine supports employee growth and development, offering opportunities for training, mentorship, and career advancement.
Salary & Benefits
The salary for a CMA - Authorization Specialist at WVU Medicine is competitive and commensurate with experience and qualifications. In addition to a competitive salary, WVU Medicine offers a comprehensive benefits package, including health insurance (medical, dental, vision), paid time off (PTO), retirement savings plans with employer matching contributions, life insurance, disability coverage, and flexible spending accounts. WVU Medicine also provides access to employee assistance programs, wellness programs, and tuition reimbursement or assistance for continuing education. These benefits contribute to a positive work-life balance and support employees' overall well-being.
WVU Medicine Culture
WVU Medicine is committed to providing high-quality, patient-centered care in a supportive and collaborative environment. The organization values teamwork, respect, and continuous improvement. Employees are encouraged to share their ideas and contribute to the organization's mission of improving the health and well-being of the communities it serves. WVU Medicine fosters a culture of diversity and inclusion, recognizing the importance of creating a welcoming and equitable workplace for all. The organization also emphasizes professional development, offering opportunities for training, mentorship, and career advancement. WVU Medicine is dedicated to creating a positive and rewarding work environment where employees can thrive.
How to Apply
To apply for the CMA - Authorization Specialist position at WVU Medicine, please visit the WVU Medicine Careers website. Search for the job title “CMA - Authorization Specialist” and the location “Parkersburg, West Virginia.” Click on the job posting and follow the instructions to submit your application. Be sure to include a resume and cover letter highlighting your qualifications and experience. If you have any questions or need assistance with the application process, please contact the WVU Medicine Human Resources department.
FAQ
- What are the essential duties of a CMA - Authorization Specialist? The essential duties include verifying patient insurance, obtaining authorizations for procedures, and communicating with insurance companies.
- What qualifications are necessary for this role? Necessary qualifications include a high school diploma, CMA certification, and strong communication skills.
- What is the typical salary range for this position? The typical salary range is $30,000 to $45,000 annually, depending on experience and qualifications.
- What benefits does WVU Medicine offer its employees? WVU Medicine offers health insurance, PTO, retirement plans, and tuition reimbursement.
- What opportunities for career advancement are available? Opportunities include roles in medical coding, billing, and nursing with continued education.
- Where is the job located? The job is located at the Camden Clark IS Building in Parkersburg, West Virginia.
- How can I apply for this position? You can apply through the WVU Medicine Careers website.
- What is the work environment like? The work environment is collaborative, with a focus on patient-centered care.
- What skills are essential for this role? Essential skills include communication, organization, and knowledge of medical terminology.
- Is prior experience in healthcare required? Prior healthcare experience is preferred but not always required.
Locations
- Parkersburg, West Virginia, United States
Salary
33,000 - 49,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Basic nursing skillsintermediate
- Patient greeting and escortingintermediate
- Exam room preparationintermediate
- Vital signs measurementintermediate
- Assisting with exams and proceduresintermediate
- Appointment schedulingintermediate
- Referral contact setupintermediate
- Patient educationintermediate
- Quality control testingintermediate
- Medical equipment maintenanceintermediate
- Medical documentation assistanceintermediate
- Effective communicationintermediate
- Adaptabilityintermediate
- Software application proficiencyintermediate
- Organization and prioritizationintermediate
- Independent workintermediate
- Teamworkintermediate
- Authorization processesintermediate
- Insurance verificationintermediate
- Pre-authorization requirementsintermediate
- Medical coding knowledgeintermediate
- ICD-10 proficiencyintermediate
- CPT codingintermediate
- HIPAA complianceintermediate
- Patient confidentialityintermediate
- Data entryintermediate
Required Qualifications
- High School Diploma or equivalent (experience)
- Current National Certification as Certified Medical Assistant (CMA) (experience)
- Basic Life Support (BLS) certification within 30 days of hire (experience)
- Graduate of an accredited Medical Assistant Program (Preferred) (experience)
- One (1) year of healthcare experience (Preferred) (experience)
- Knowledge of medical terminology (experience)
- Understanding of clinical procedures (experience)
- Familiarity with electronic health records (EHR) (experience)
- Ability to maintain patient confidentiality (experience)
- Strong interpersonal skills (experience)
- Excellent communication skills, both verbal and written (experience)
- Ability to work effectively in a team environment (experience)
- Proficiency in using computer systems and software (experience)
- Ability to prioritize tasks and manage time effectively (experience)
- Ability to adapt to changing work environments and patient needs (experience)
- Understanding of medical insurance processes (experience)
- Knowledge of authorization requirements and procedures (experience)
- Familiarity with pre-authorization processes (experience)
Responsibilities
- Greet and escort patients to exam rooms, ensuring a comfortable and welcoming environment.
- Prepare patients for provider visits by obtaining initial information, including medical history, current medications, and vital signs.
- Prepare exam rooms for patients, ensuring cleanliness and availability of necessary supplies and equipment.
- Assist with and/or perform exams, tests, and procedures under the direction of the physician, advanced practice professional, or registered nursing staff.
- Schedule appointments and set up referral contacts as needed, coordinating with other healthcare providers and departments.
- Assist providers during patient examinations and procedures, providing support and ensuring a smooth process.
- Educate patients on follow-up expectations, providing clear and concise instructions for continued care.
- Maintain quality control testing logs as required, ensuring accuracy and compliance with regulatory standards.
- Ensure all medical equipment is in proper working condition, reporting any issues or malfunctions to the appropriate personnel.
- Assist patients with the completion of medical documentation, providing guidance and support as needed.
- Verify patient insurance coverage and obtain necessary authorizations for procedures and treatments.
- Maintain accurate and up-to-date patient records, ensuring compliance with HIPAA regulations and maintaining patient confidentiality.
- Process pre-authorization requests for medications, procedures, and referrals in a timely manner.
- Communicate with insurance companies to resolve authorization issues and ensure timely approvals.
- Collaborate with providers and other healthcare staff to ensure accurate and complete documentation for authorization purposes.
- Stay up-to-date on changes in insurance regulations and authorization requirements.
- Assist with other administrative tasks as needed to support the efficient operation of the practice.
- Monitor authorization status and follow up on pending requests to prevent delays in patient care.
- Maintain a thorough understanding of medical coding (ICD-10, CPT) and billing procedures to ensure accurate authorization processing.
- Provide excellent customer service to patients and insurance representatives, addressing inquiries and resolving issues in a professional and courteous manner.
Benefits
- general: Comprehensive health insurance plans (medical, dental, vision)
- general: Generous paid time off (PTO) policy for vacation, sick leave, and holidays
- general: Retirement savings plan with employer matching contributions
- general: Life insurance and disability coverage
- general: Flexible spending accounts (FSA) for healthcare and dependent care expenses
- general: Employee assistance program (EAP) for confidential counseling and support
- general: Wellness programs and resources to promote employee health and well-being
- general: Tuition reimbursement or assistance for continuing education and professional development
- general: Opportunities for career advancement and growth within WVU Medicine
- general: Employee discounts on various products and services
- general: A supportive and collaborative work environment
- general: Access to state-of-the-art medical facilities and technology
- general: Commitment to diversity and inclusion
- general: Employee recognition programs to celebrate achievements and contributions
- general: Opportunities for community involvement and volunteer activities
- general: Professional development workshops and training sessions
- general: Employee referral bonus program
- general: On-site parking or transportation assistance
- general: Competitive salary and compensation packages
- general: Positive work-life balance
Tags & Categories
Answer 10 quick questions to check your fit for CMA - Authorization Specialist Careers at WVU Medicine - Parkersburg, West Virginia | Apply Now! @ WVU Medicine.
Related Books and Jobs