Precertification Authorization Specialist

Job Description Summary

Each person plays a vital role in ensuring we are providing the best healthcare possible - come join our team

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC001461 LAN - Preauthorization (LMC)

Pay Rate Type

Hourly

Pay Grade

Health-22

Scheduled Weekly Hours

40

Work Shift

Day (United States of America)

Job Description

The Precertification/Authorization Specialist reports to the Call One Scheduling Supervisor.  Under general supervision, the Call One Scheduler serves as the initial point of contact for individuals scheduling outpatient and minor procedures at MUSC.  Assists One or more groups of physicians, advanced clinical practitioners, providers, and clinical team members.  Ensures competent and accurate appointment scheduling while maintaining the efficient flow of all incoming and outbound calls. Provides appropriate screening, handling and routing of incoming phone calls.  

Essential Functions

•    This position facilitates schedule appointments for multiple departments in a call center environment utilizing an automated scheduling system
•    Performs quality Data Demographic collection including but not limited to Patient name, Date of Birth, Address, Phone numbers, Insurance information, Next of Kin, Primary Care Physician
•    Obtains Insurance Authorization from the providers or clinical team members upon scheduling appointments
•    Answers inbound and/or places outbound telephone calls as assigned and appropriately directs callers and ensures all calls are handled efficiently and in a timely manner
•    Schedules various types of appointments for physicians, advanced clinical practitioners, and other clinicians, and communicates any necessary instructions.
•    Cancels or reschedules appointments from the patient, physicians, advanced clinical practitioners, and other clinicians as needed.  
•    Answers voice mails every 15 minutes and return calls as needed
•    Mandates fax machine for faxes and resends to appropriate locations
•    Scans orders into the patient account as needed
•    Must be able to speak and articulate clearly in a professional manner
•    Must be able to work in a fast-paced environment.

This role performs activities to ensure effective operations of the hospital, while enhancing the revenue cycle and providing the highest level of customer service.

Additional Job Description

Education: High School Diploma or GED with ability to read Business Office policies and procedure.

Experience: Two years' experience in a Medical Office or Hospital setting including contact with general public is preferred.

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