Precertification & Authorization Specialist I

MUSC Health; Charleston (SC); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Paid time off

Parental leave

Tuition reimbursement

Flexible schedule

Employee referral program

Job summary

MUSC Community Physicians (MCP) in Charleston, SC, seeks an Eligibility and Authorization Specialist to verify patient eligibility, obtain insurance benefits, and ensure pre-certification, authorization and referrals are met before inpatient, outpatient, or ancillary services.

You will determine third‑party payer requirements, obtain necessary authorizations via phone, fax, or payer portals, and document all details in the patient record, supporting compliant care across the network.

Qualifications

• Education: High School Degree or Equivalent
• Work Experience: 1 year

Responsibilities

• Verify eligibility and obtain insurance benefits for inpatient, outpatient, and ancillary services.
• Ensure pre-certification, authorization and referral requirements are met.
• Obtain necessary authorizations via phone, fax, or payer websites and document in patient records

Education

High School Degree or Equivalent

Job description

MUSC Community Physicians (MCP) in Charleston, SC, seeks an Eligibility and Authorization Specialist to verify patient eligibility, obtain insurance benefits, and ensure pre-certification, authorization and referrals are met before inpatient, outpatient, or ancillary services.

You will determine third‑party payer requirements, obtain necessary authorizations via phone, fax, or payer portals, and document all details in the patient record, supporting compliant care across the network.