Insurance Verification Representative, FT

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 CCBLR - 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:

Created: 2024-11-07