Authorization & Eligibility Specialist

C018 MUSC Community Physicians (MCP); United States; On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Health, dental, vision, and life ins.

Employer Sponsored Retirement Plan

Paid time off and extended sick leave

Paid Parental Leave

Disability insurance plan options

Tuition Reimbursement

Flexible schedule options

Certification incentive program

Job summary

MUSC Community Physicians (MCP) is seeking an Eligibility Specialist to verify patient eligibility, obtain insurance benefits, and secure necessary pre-certifications and authorizations before services are delivered.

The role requires communicating with payers and clinical partners, documenting information in patient records, and ensuring compliance with payer requirements. A high school diploma is required, with opportunities for professional development and tuition reimbursement.

Qualifications

• Must verify patient eligibility and insurance benefits.
• Obtain pre-certifications, authorizations, and referrals.
• Document payer communications and ensure payer requirements are met.

Responsibilities

• Verify eligibility and benefits prior to service delivery.
• Obtain authorizations via phone, fax, or payer portals.
• Communicate with payers and clinical partners to ensure compliance.

Skills

Eligibility verification

Insurance benefits

Authorization processing

Payer communication

Healthcare revenue cycle

Education

High School Degree or Equivalent

Tools

Payer portals

EHR systems

Job description

MUSC Community Physicians (MCP) is seeking an Eligibility Specialist to verify patient eligibility, obtain insurance benefits, and secure necessary pre-certifications and authorizations before services are delivered.

The role requires communicating with payers and clinical partners, documenting information in patient records, and ensuring compliance with payer requirements. A high school diploma is required, with opportunities for professional development and tuition reimbursement.