Pre-Certification & Eligibility Specialist

Medical University of South Carolina; Lexington (KY); Presencial; USD 21.000 - 34.000; Jornada completa

Descripción de la vacante

MUSC Community Physicians is seeking an Employee in Lexington to verify eligibility, obtain insurance benefits and secure pre-certifications, authorizations, and referrals for inpatient, outpatient, and ancillary services.

You will determine which services have third party payer requirements and obtain necessary authorizations via phone, fax, or payer websites, while documenting information in the patient record.

Formación

• High School Degree or Equivalent required.
• 1 year of work experience preferred.
• Strong communication and organizational skills are essential.

Responsabilidades

• Verify patient eligibility and obtain insurance benefits.
• Ensure pre-certification, authorization, and referrals for services.
• Communicate with payers and clinical partners to meet payer requirements and document information in the patient record.

Educación

High School Degree or Equivalent

Descripción del empleo

MUSC Community Physicians is seeking an Employee in Lexington to verify eligibility, obtain insurance benefits and secure pre-certifications, authorizations, and referrals for inpatient, outpatient, and ancillary services.

You will determine which services have third party payer requirements and obtain necessary authorizations via phone, fax, or payer websites, while documenting information in the patient record.