Payer Liaison: Precertification & Authorization

Medical University of South Carolina; United States; On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

Health insurance

Dental and vision insurance

Employer-sponsored retirement plan

Paid time off

Paid parental leave

Disability insurance

Continued professional/clinical培训

Competitive pay

Annual merit increase

Wellbeing resources

Tuition reimbursement

Employee perks and discounts

Flexible schedule options

Certification incentive program

Job summary

The Medical University of South Carolina is seeking a Precertification Specialist to verify patient eligibility and obtain insurance benefits prior to delivering inpatient, outpatient, and ancillary services. You will coordinate with payers and clinical teams, ensuring all referrals meet payer requirements and are accurately documented in the patient record.

You will communicate with payers and care partners via phone, fax, or payer portals, supporting compliant and timely approvals.

Qualifications

• High school diploma or equivalent is required.
• 1 year of work experience in healthcare or precertification is preferred.

Responsibilities

• Verify patient eligibility and insurance benefits.
• Ensure pre-certification, authorization, and referral requirements are met for inpatient, outpatient, and ancillary services.
• Obtain authorizations via phone, fax, or payer websites.
• Communicate clearly with payers and clinical partners to ensure payer contract compliance.
• Document all relevant information in the patient record.
• Perform other duties as assigned.

Education

High School Degree or Equivalent

Job description

The Medical University of South Carolina is seeking a Precertification Specialist to verify patient eligibility and obtain insurance benefits prior to delivering inpatient, outpatient, and ancillary services. You will coordinate with payers and clinical teams, ensuring all referrals meet payer requirements and are accurately documented in the patient record.

You will communicate with payers and care partners via phone, fax, or payer portals, supporting compliant and timely approvals.