Authorization Representative I - Diagnostic Radiology

Cleveland Clinic

1d

About The Position

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. In our Finance division, caregivers use their knowledge and skills every day to provide exceptional experiences for patients and their families. As a part of our Revenue Cycle Management team, you will assist the department in providing comprehensive insurance authorization services. This position is a great entrance point, allowing you to gain extensive hands-on experience in a rapidly evolving healthcare system. A caregiver in this position works Mon, Tue, Thu and Fri| 8:30am—5:00pm | Wednesday 9:30am—6:00pm| One Saturday per month (8:00am—3:30pm).

Requirements

• High School Diploma or GED and two years of experience in a customer-facing role with in-person or phone contact OR Associate’s Degree and one year of experience OR Bachelor’s Degree
• Demonstrated PC skills
• Handle multiple accounts in high volume insurance verification processes
• Ability to communicate and exchange accurate information.
• Ability to perform work in a stationary position for extended periods.
• Ability to work with physical records or operate a computer or other office equipment.
• In some locations, ability to travel throughout the hospital system.
• In some locations ability to move up to 25 lbs.
• Follows Standard Precautions using personal protective equipment.
• You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Responsibilities

• Provide a comprehensive set of insurance authorization services.
• Crosstrain to staff all areas of authorization supporting any facility, such as verification, pre-certification, eligibility and benefits.
• Identify and use appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
• Flag accounts for high dollar financial clearance.
• Perform registration input to ensure accurate patient information for the authorization process.
• Communicate with physician offices to obtain clinical information and/or coordinate peer-to-peer conversations.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED