PRECERTIFICATION/AUTHORIZATION SPECIALIST
Company: MUSC Health & Medical University of SC
Location: Awendaw
Posted on: October 30, 2024
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Job Description:
Job Description Summary
Responsible for verifying eligibility, obtaining insurance
benefits, and ensuring pre-certification, authorization, and
referral requirements are met prior to the delivery of inpatient,
outpatient, and ancillary services. This individual determines
which patient services have third party payer requirements and is
responsible for obtaining the necessary authorizations for care,
via phone, fax, or payer websites.
Entity
Medical University Hospital Authority (MUHA)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC002349 CHSCorp - Precertification Unit - (19920200)
Pay Rate Type
Hourly
Pay Grade
Health-20
Scheduled Weekly Hours
40
Work Shift
Job Description
Responsible for verifying eligibility, obtaining insurance
benefits, and ensuring pre-certification, authorization, and
referral requirements are met prior to the delivery of inpatient,
outpatient, and ancillary services. This individual determines
which patient services have third party payer requirements and is
responsible for obtaining the necessary authorizations for care,
via phone, fax, or payer websites. The Specialist provides detailed
and timely communication to both payers and clinical partners in
order to facilitate compliance with payer contractual requirements
and is responsible for documenting the appropriate information in
the patient's record. Other duties as assigned.
Additional Job Description
Education: High School Degree or Equivalent Work Experience: 1
year
If you like working with energetic enthusiastic individuals, you
will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity
Employer. MUSC does not discriminate on the basis of race, color,
religion or belief, age, sex, national origin, gender identity,
sexual orientation, disability, protected veteran status, family or
parental status, or any other status protected by state laws and/or
federal regulations. All qualified applicants are encouraged to
apply and will receive consideration for employment based upon
applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal
E-Verify program to confirm the identity and employment
authorization of all newly hired employees. For further information
about the E-Verify program, please click here:
http://www.uscis.gov/e-verify/employees
Keywords: MUSC Health & Medical University of SC, Mount Pleasant , PRECERTIFICATION/AUTHORIZATION SPECIALIST, Other , Awendaw, South Carolina
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here to apply!
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