What are the responsibilities and job description for the Precertification / Authorization Specialist position at MUSC Health & Medical University of SC?
Job Description Summary
Entity
Medical University Hospital Authority (MUHA)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC002349 CHSCorp - Precertification Unit
Pay Rate Type
Hourly
Pay Grade
Health-20
Scheduled Weekly Hours
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!
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