Eligibility & Authorization Specialist

Medical University Hospital Authority (MUHA); South Carolina; On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Health, dental, vision, and life保险

Employer Sponsored Retirement Plan

Paid time off and extended sick leave

Paid Parental Leave

Disability insurance plan options

Continuous professional and clinical培训

Competitive pay

Annual Merit Increase

Wellbeing resources

Tuition Reimbursement

Employee perks and discounts

Employee referral program

Flexible schedule options

Certification incentive program

Job summary

Medical University Hospital Authority (MUHA) seeks a detail‑driven Precertification Specialist to verify eligibility, obtain insurance benefits, and ensure pre‑certification, authorization, and referral requirements are met for 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.

Qualifications

• High School Degree or Equivalent
• At least 1 year of related work experience

Responsibilities

• Verify eligibility and obtain insurance benefits for inpatient, outpatient, and ancillary services.
• Secure required authorizations and referrals and document outcomes in the patient record.

Education

High School Degree or Equivalent

Job description

Medical University Hospital Authority (MUHA) seeks a detail‑driven Precertification Specialist to verify eligibility, obtain insurance benefits, and ensure pre‑certification, authorization, and referral requirements are met for 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.