Precertification Specialist

Job overview

The Precertification Specialist role is listed in Charleston, SC, supporting MUSC Community Physicians' rural health network across South Carolina. The posting does not specify a work arrangement or numeric compensation. MUSC Community Physicians provides healthcare to patients throughout the state. The specialist verifies coverage and secures required authorizations and referrals before services are delivered. The role helps facilitate timely care and compliance with payer requirements by coordinating with payers and clinical partners and documenting information in patient records.

What you'll do

• Verify patient eligibility and insurance benefits
• determine third-party payer requirements for inpatient, outpatient, and ancillary services
• obtain required pre-certifications, authorizations, and referrals by phone, fax, or payer websites
• communicate with payers and clinical partners
• document relevant information in patient records.

What we're looking for

Skills & competencies

precertification specialist

charleston sc

musc

musc community physicians

revenue cycle

insurance eligibility

prior authorization

referral coordination

patient records

healthcare administration

40 hours weekly

high school degree

Work arrangement

• Weekend coverage required

Benefits & perks

• Health, dental, vision, and life insurance
• employer-sponsored retirement plan
• paid time off and extended sick leave
• paid parental leave
• disability insurance options
• professional and clinical training
• merit increases
• wellbeing resources
• tuition reimbursement
• employee perks and discounts
• referral program
• flexible schedule options
• certification incentive program.

Why this role

The posting lists a high school degree or equivalent and one year of work experience. The role is in the MCP Revenue Cycle cost center and has 40 scheduled weekly hours.

About the employer

Genesis Health Clubs is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.