What are the responsibilities and job description for the Insurance Verification Representative, FT position at MUSC Health?
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.
Entity
Medical University Hospital Authority (MUHA)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC003482 BLR - Registration (BRMC)
Pay Rate Type
Hourly
Pay Grade
Health-22
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.
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: http://www.uscis.gov/e-verify/employees
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.
Entity
Medical University Hospital Authority (MUHA)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC003482 BLR - Registration (BRMC)
Pay Rate Type
Hourly
Pay Grade
Health-22
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.
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: http://www.uscis.gov/e-verify/employees
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