Precertification and Authorization Specialist
Employment type
Full-time
Work setting
On-site
Location
Lexington, SC
Schedule
Day shift
Posted
You'll be redirected to the employer's application page.
Job overview
The Precertification and Authorization Specialist role is onsite in Lexington, SC, and compensation is not specified. The position supports MUSC Community Physicians and helps prepare for inpatient, outpatient, and ancillary services. The specialist verifies eligibility and insurance benefits, identifies payer requirements, and obtains authorizations and referrals before services are delivered. Accurate documentation and timely communication with payers and clinical partners help support compliance with payer contracts and facilitate care.
What you'll do
- Verify eligibility and obtain insurance benefits
- determine which services require third-party payer authorization
- obtain precertifications, authorizations, and referrals by phone, fax, or payer websites
- communicate with payers and clinical partners
- document relevant information in patient records
- perform other duties as assigned.
What we're looking for
- Skills & competencies
- precertification specialistauthorization specialistinsurance eligibilitybenefits verificationreferral coordinationpatient recordshealthcare administrationlexington scmusc40 hours weeklyfull-time
- Work arrangement
- Weekend coverage required
Why this role
High school degree or equivalent and one year of work experience are listed as qualifications. The role is an employee position with 40 scheduled weekly hours.
About the employer
MUSC is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- Offices of Physicians (except Mental Health Specialists)
- Occupation code
- 43-6013.00
You'll be redirected to the employer's application page.
Listing ID: bf50d7d5-aab6-48dc-95dc-4cbb4894a9b7