[Hiring] Senior Insurance Authorization Specialist @Ensemble Health Partners

Role Description

The Senior Insurance Authorization Specialist is responsible for supporting the Insurance Authorization Specialist I and Insurance Verification Specialists I while performing insurance authorization and verification for all patients scheduled for services at Ensemble Health Partners. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Insurance Authorization Specialist will work within the policies and processes as they are being performed across the entire organization. They'll support the Department's Supervisor with the daily workflow and distribution of workload, answer questions as the assigned subject matter experts, assist with mentoring and training new members of the team and report any system or process issues identified.

This position starts at: $18.65/hr. Final compensation will be determined based on experience.

Job Responsibilities

• Support the Insurance Authorization I staff in their responsibility for selecting accurate medical records for patient safety.
• Obtain and validate demographic and insurance information.
• Work with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment.
• Ensure active/eligible coverage.
• Assist the supervisor of the department with escalated issues, tracking system and process issues.
• Assist in the training and mentoring of new hires.
• Achieve >95% accuracy/quality while handling accounts, as measured by account audits.
• Achieve >95% quality of expected customer service etiquette, as measured by phone call audits.
• Meet or exceed lower controls of average productivity amongst the team productivity standards.
• 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 to secure approval are identified and communicated.
• Perform other duties as assigned.

Qualifications

• 1-3 years of experience.
• High School Diploma/GED Required.
• Preferred: 2 Year/ Associates Degree.
• Certifications: Certified Revenue Cycle Representative (CRCR) required within 9 months of hire - Company Paid.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Professional development opportunities, including earning a professional certification relevant to their field and tuition reimbursement.
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.