What are the responsibilities and job description for the Precertification/Authorization Specialist position at MUSC?
Job Description Summary
Entity
Medical University Hospital Authority (MUHA)Worker Type
EmployeeWorker Sub-Type
RegularCost Center
CC002349 CHSCorp - Precertification UnitPay Rate Type
HourlyPay Grade
Health-20Scheduled Weekly Hours
40Work 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 yearIf you like working with energetic enthusiastic individuals, you will enjoy your career with us!
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