Insurance Authorization Specialist

Ensemble Health Partners

2d • $17 - $19

About The Position

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement The position pays between $17.00 - $18.65/hr based on experience The Insurance Authorization Specialist performs insurance authorization 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 Insurance Authorization Specialist I will work within the policies and processes as they are being performed across the entire organization.

Requirements

• 1 to 3 years’ experience in a healthcare setting.
• Experience working with insurance verification and authorization requirements.
• High School Diploma, GED, or Equivalent Experience

Nice To Haves

• Understanding of Revenue Cycle including admission, billing, payments and denials.
• Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
• Knowledge of Health Insurance requirements.
• Knowledge of medical terminology or CPT or procedure codes.
• Patient Access experience with managed care/insurance, formal typist with a minimum of 35 WPM, intermediate proficiency in MS applications (Word, Excel & PowerPoint), experience with multiple computer systems and use of dual screens.
• Able to multitask and work individually while applying critical thinking skills.
• Customer Service experience highly preferred.

Responsibilities

• The Insurance Authorization Specialist is responsible for selecting accurate medical records for patient safety, and working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment.
• This role will identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval.
• The Insurance Authorization Specialist I will be the liaison between the ordering physician and insurance company to ensure all requirements to secure approval are identified and communicated requirements to secure payment.
• This role will identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval.
• Among the expectations of this role, the Specialist will achieve>95% accuracy/quality while handling accounts >95% quality of expected customer service etiquette
• Meet or exceed Lower controls of average productivity amongst the Insurance Authorization Specialist I productivity standards
• Performs other duties as assigned

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – We offer a 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.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

What This Job Offers

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