Insurance Authorization Specialist

Ensemble Health Partners • Work at Home - Ohio - Other, OH

1d • $17 - $19 • Remote

About The Position

The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services, following organization-wide policies and processes. The role supports patient safety and payment by selecting accurate medical records, identifying plan requirements, and working with insurance companies and physician offices to secure authorization. This is a remote position, with required travel to and work at client, temporary, or corporate office locations when business needs require. The position pays $17.00–$18.65 per hour, based on experience.

Requirements

• High school diploma or GED.
• At least 2 years of insurance authorization experience.
• Obtain Certified Revenue Cycle Representative (CRCR) certification within 9 months of hire; company-paid.
• Ability to flex work schedule as needed to meet business needs.
• Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
• Ability to use independent judgment and manage confidential information.
• Analytical ability and strong written communication and interpersonal skills.
• Openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

Nice To Haves

• Knowledge of appeals concepts and principles.
• Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements.
• 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 procedure requirements.
• Ability to clearly communicate medical information to professional practitioners and/or the general public.
• Ability to adapt and modify medical billing procedures, protocols, and data management systems to meet specific operating requirements.
• Ability to provide guidance and training to professional and technical staff in area of expertise.

Responsibilities

• Select accurate medical records for patient safety and work with insurance companies and physician offices to complete authorization requirements and secure payment.
• Identify appropriate clinical records and submit authorization requests to insurance companies in accordance with plan requirements.
• Serve as liaison between the ordering physician and insurance company to identify and communicate requirements for approval.

Benefits

• Bonus incentives.
• Paid professional certification.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Quarterly and annual incentive programs.

What This Job Offers

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