Precertification & Authorization Specialist for Patient Care

Medical University of South Carolina; Charleston, Northern (SC, KY); Hybrid; USD 21,000 - 30,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Paid time off

Parental Leave

Disability insurance

Tuition Reimbursement

Wellbeing resources

Job summary

The Medical University of South Carolina (MUSC) is seeking an Eligibility Verification Specialist for MCP in South Carolina. The role focuses on verifying patient eligibility, obtaining insurance benefits, and securing necessary pre-certifications and authorizations prior to care delivery.

This position requires strong communication with payers and clinical partners, and meticulous documentation in patient records.

Qualifications

• High School Degree or Equivalent.
• 1 year of work experience in healthcare administration or related field preferred.

Responsibilities

• Verify eligibility and obtain insurance benefits for patients.
• Ensure pre-certification, authorization, and referral requirements are met.
• Communicate with payers and clinical partners to facilitate payer contractual requirements.
• Document all relevant information in the patient’s record.

Skills

Eligibility verification

Insurance benefits

Payer communications

Documentation

Education

High School Degree or Equivalent

Job description

The Medical University of South Carolina (MUSC) is seeking an Eligibility Verification Specialist for MCP in South Carolina. The role focuses on verifying patient eligibility, obtaining insurance benefits, and securing necessary pre-certifications and authorizations prior to care delivery.

This position requires strong communication with payers and clinical partners, and meticulous documentation in patient records.