Precertification Specialist I
Precertification Specialist I
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1 Vacancy
Job Description
Job Description Summary
Entity
Medical University Hospital Authority (MUHA)Worker Type
EmployeeWorker SubType
RegularCost Center
CC002349 CHSCorp Precertification UnitPay Rate Type
HourlyPay Grade
Health20Scheduled Weekly Hours
40Work Shift
Job Description
Responsible for verifying eligibility obtaining insurance benefits and ensuring precertification 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 patients record. Other duties as assigned.
Additional Job Description
Education: High School Degree or Equivalent Work Experience: 1 yearIf 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 EVerify program to confirm the identity and employment authorization of all newly hired employees. For further information about the EVerify program please click here: Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
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