Senior Insurance Authorization/Verification Specialist
About The Position
The Insurance Verification/Authorization Specialist II is responsible to support the Insurance Authorization Specialist I and Insurance Authorization Specialist II roles 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 Insurance Verification/Authorization Specialist II 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. This position is an on-site role at Bon Secours - St Mary's Hospital in Richmond, VA.
Requirements
- 1-3 years of experience
- High School Diploma/GED Required
- Certified Revenue Cycle Representative (CRCR) required within 9 months of hire -Company Paid
Nice To Haves
- 2 Year/ Associates Degree2 Year/ Associates Degree
Responsibilities
- The Insurance Verification/Authorization Specialist II will support the Insurance Authorization I staff in their responsibility for selecting accurate medical records for patient safety, obtaining and validating demographic and insurance information, working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment, and ensure active/eligible coverage.
- Assist the supervisor of the department with escalated issues, tracking system and process issues as well as assisting in the training and mentoring of new hires.
- >95% accuracy/quality while handling accounts, as measured by account audits
- >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
- Assist the supervisor of the department with escalated issues, tracking system and process issues as well as assisting in the training and mentoring of new hires.
- Identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval.
- Will be the liaison between the ordering physician and insurance company to ensure any and all requirements to secure approval are identified and communicated.
- Performs other duties as assigned.
Benefits
- 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.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
