[Hiring] Insurance Authorization Specialist @Ensemble Health Partners

Role Description

The Insurance Authorization Specialist is responsible for performing insurance authorization for all patients scheduled for services. The Specialist will work within the policies and processes as they are being performed across the entire organization.

• Select accurate medical records for patient safety.
• Work with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment.
• Identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval.
• Act as the liaison between the ordering physician and insurance company to ensure all requirements for securing approval are identified and communicated.

Qualifications

• Knowledge of appeals concepts and principles.
• Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements.
• Ability to use independent judgment and manage confidential information.
• Strong written communication and interpersonal skills.
• Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation.
• Knowledge of current and developing issues and trends in medical coding procedures requirements.
• Ability to clearly communicate medical information to professional practitioners and/or the general public.
• Ability to adapt and modify medical billing procedures, protocol, and data management systems to meet specific operating requirements.
• Ability to provide guidance and training to professional and technical staff in the area of expertise.
• Ability to flex work schedule on an as-needed basis to meet business needs.

Requirements

• High school diploma or GED.
• 2+ years of Insurance Authorization experience.
• Certification: Certified Revenue Cycle Representative (CRCR) required within 9 months of hire - Company Paid.

Benefits

• Bonus Incentives.
• Paid Certifications.
• Tuition Reimbursement.
• Comprehensive Benefits.
• Career Advancement.