Precertification & Benefits Liaison

Medical University Hospital Authority (MUHA); South Carolina; On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

Health insurance

Dental and vision insurance

Employer Sponsored Retirement Plan

Paid time off and extended sick leave

Paid Parental Leave

Disability insurance plan options

Continuing professional and clinical培训

Competitive pay

Annual Merit Increase

Wellbeing resources

Tuition Reimbursement

Employee perks and discounts

Employee referral program

Flexible schedule option

Certification incentive program

Job summary

Medical University Hospital Authority (MUHA) is seeking a precertification specialist responsible for verifying patient eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to delivering inpatient, outpatient, and ancillary services.

The role involves determining which patient services have third-party payer requirements and obtaining necessary authorizations via phone, fax, or payer websites, with detailed

Qualifications

• High School Degree or Equivalent.
• 1 year work experience.
• Experience verifying eligibility and obtaining pre-certifications.

Responsibilities

• Verify eligibility for services and confirm insurance benefits.
• Obtain pre-certifications, authorizations, and referrals as required.
• Communicate with payers and clinical partners to fulfill payer requirements.
• Document all pertinent information in the patient's record.

Education

High School Degree or Equivalent

Job description

Medical University Hospital Authority (MUHA) is seeking a precertification specialist responsible for verifying patient eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to delivering inpatient, outpatient, and ancillary services.

The role involves determining which patient services have third-party payer requirements and obtaining necessary authorizations via phone, fax, or payer websites, with detailed