About this opportunity
Medical University of South Carolina lists this Precertification/Authorization Specialist-1 opportunity in charleston, South Carolina. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Precertification/Authorization Specialist-1Charleston, South CarolinaPrecertification/Authorization Specialist-1Patient Access, Records, Health Information, Medical Records & CodingBusiness OperationsFull TimeJob Description SummaryMUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina. 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.EntityMUSC Community Physicians (MCP)Worker TypeEmployeeWorker Sub-TypeRegularCost CenterCC MCP - Revenue CyclePay Rate TypeHourlyPay GradeHealth-20Scheduled Weekly Hours40Work ShiftJob DescriptionResponsible 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.Education: High School Degree or EquivalentWork Experience: 1 yearBenefits:Health, dental, vision, and life insuranceEmployer Sponsored Retirement PlanPaid time off and extended sick leavePaid Parental LeaveDisability insurance plan optionsContinuous professional and clinical trainingCompetitive payAnnual Merit IncreaseWellbeing resourcesTuition ReimbursementEmployee perks and discountsEmployee referral programFlexible schedule optionsCertification incentive programIf 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.
Worksite address
charleston, SC, 29407, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.