Medical University Hospital Authority (MUHA)
Precertification/AuthorizationSpecialist
“Precertification/Authorization Specialist at Medical University Hospital Authority (MUHA). Skills: verifying eligibility, obtaining insurance benefits, ensuring pre-certification, ensuring authorization, ensuring referral requirements, determining which patient services have third party payer requirements, obtaining necessary authorizations for care, documenting the appropriate information in the patient's record, process management, cross-functional coordination, vendor/stakeholder management, ”
What They're Looking For.
Must Have
1 year of experience
What You'll Do.
verifying eligibility
obtaining insurance benefits
ensuring pre-certification
and referral requirements are met prior to the delivery of inpatient
and ancillary services
determining which patient services have third party payer requirements
obtaining the necessary authorizations for care
providing detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements
documenting the appropriate information in the patient's record
How You'll Work.
Team & Collaboration
communication to clinical partners
Communication Scope
detailed and timely communication to both payers and clinical partners
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