Payer & Precertification Specialist

Medical University of South Carolina; Charleston (SC); On-site; USD 25,000 - 34,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Employer Sponsored Retirement Plan

Paid time off

Job summary

Medical University of South Carolina (MUSC) seeks an Employee for MCP who will verify eligibility and obtain insurance benefits for inpatient, outpatient, and ancillary services. This role ensures pre-certification, authorization, and referrals are completed and maintains payer communications for compliance.

Education required is a High School Degree or Equivalent; 1 year of experience is preferred. Responsibilities include determining third-party payer requirements, obtaining authorizations via

Qualifications

• High School Degree or Equivalent required.
• 1 year of work experience preferred.

Responsibilities

• Verify eligibility and obtain insurance benefits for inpatient, outpatient, and ancillary services.
• Ensure pre-certification, authorization, and referral requirements are met.
• Identify patient services with third-party payer requirements and obtain necessary authorizations.
• Document all payer communications and clinical details in the patient record.

Education

High School Degree or Equivalent

Job description

Medical University of South Carolina (MUSC) seeks an Employee for MCP who will verify eligibility and obtain insurance benefits for inpatient, outpatient, and ancillary services. This role ensures pre-certification, authorization, and referrals are completed and maintains payer communications for compliance.

Education required is a High School Degree or Equivalent; 1 year of experience is preferred. Responsibilities include determining third-party payer requirements, obtaining authorizations via