Precertification/Authorization Specialist, FT
MUSC Health & Medical University of SC, Florence, SC, United States
Job Description Summary
Responsible for verifying patients' insurance coverage and obtaining prior authorizations for outpatient exams. Locate and research supporting documentation to submit to insurance companies for prior authorizations. Follow-up on pending authorizations, provider peer-to-peer requests, and denied accounts. Send admitting notifications to insurance companies for patients and Case Management. Follow up on observation and inpatient accounts for status changes.
Entity Medical University Hospital Authority (MUHA)
Worker Type Employee
Worker Sub-Type Regular
Cost Center CC001195 FLO - Central Scheduling (FMC)
Pay Rate Type Hourly
Pay Grade Health-20
Scheduled Weekly Hours 40
Work Shift
Job Description
Responsible for verifying patients' insurance coverage and obtaining prior authorizations for outpatient exams. Locate and research supporting documentation to submit to insurance companies for prior authorizations. Follow-up on pending authorizations, provider peer-to-peer requests, and denied accounts. Send admitting notifications to insurance companies for patients and Case Management. Follow up on observation and inpatient accounts for status changes.
Additional Job Description
Education:
High School Degree or Equivalent
Work Experience:
1 year
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here:
Entity Medical University Hospital Authority (MUHA)
Worker Type Employee
Worker Sub-Type Regular
Cost Center CC001195 FLO - Central Scheduling (FMC)
Pay Rate Type Hourly
Pay Grade Health-20
Scheduled Weekly Hours 40
Work Shift
Job Description
Responsible for verifying patients' insurance coverage and obtaining prior authorizations for outpatient exams. Locate and research supporting documentation to submit to insurance companies for prior authorizations. Follow-up on pending authorizations, provider peer-to-peer requests, and denied accounts. Send admitting notifications to insurance companies for patients and Case Management. Follow up on observation and inpatient accounts for status changes.
Additional Job Description
Education:
High School Degree or Equivalent
Work Experience:
1 year
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: