Payer Liaison: Precertification & Authorization Specialist

MUSC Health; Charleston (SC); On-site; USD 30,000 - 39,000; Full time

Benefits offered by this job

Health, dental, vision, life insurance

Retirement plan

PTO and extended sick leave

Paid Parental Leave

Disability insurance

Training and development

Competitive pay

Annual merit increase

Wellbeing resources

Tuition reimbursement

Employee perks and discounts

Employee referral program

Flexible schedule

Certification incentives

Job summary

Medical University Hospital Authority (MUHA) in Charleston seeks a detail‑oriented Precertification Specialist. You will verify eligibility, obtain insurance benefits, and ensure pre-certification, authorization, and referral requirements are met for inpatient, outpatient, and ancillary services.

The role requires communicating with payers and clinical partners by phone, fax, or payer portals and documenting the relevant information in the patient record.

Qualifications

• High School Degree or equivalent.
• Minimum 1 year of work experience.

Responsibilities

• Verify eligibility and obtain insurance benefits.
• Ensure pre-certification, authorization, and referral requirements are met for services.
• Obtain authorizations via phone, fax, or payer websites.
• Document relevant information in the patient record and communicate with payers and clinical partners.

Education

High School Degree or Equivalent

Job description

Medical University Hospital Authority (MUHA) in Charleston seeks a detail‑oriented Precertification Specialist. You will verify eligibility, obtain insurance benefits, and ensure pre-certification, authorization, and referral requirements are met for inpatient, outpatient, and ancillary services.

The role requires communicating with payers and clinical partners by phone, fax, or payer portals and documenting the relevant information in the patient record.