Remote Insurance Authorization Specialist

Ensemble Health Partners; Ohio; Remoto; USD 36.000 - 52.000; Tempo pieno

Vantaggi offerti da questo lavoro

Remote work

Bonus incentives

Tuition reimbursement

Descrizione del lavoro

Ensemble Health Partners seeks a Bedded Insurance Authorization Specialist to secure initial and concurrent insurance authorizations for hospital admissions. The role ensures accurate documentation of benefits, eligibility, and payor requirements while supporting medical necessity.

Responsibilities include verifying coverage, obtaining required authorizations, and maintaining regulatory compliance. Strong computer skills and prior experience with insurance authorizations are essential for

Competenze

• Must have experience with insurance authorizations
• Proficient in CPT codes and medical terminology
• Ability to review patient data for accurate authorization requests
• Strong problem-solving skills and fast material retention

Mansioni

• Verify active insurance and coverage for procedures and hospital stays
• Document benefits, eligibility, and pre-certifications
• Obtain and maintain required authorizations
• Explain payor criteria to support medical necessity
• Maintain high accuracy, quality, and productivity in documentation

Conoscenze

Insurance authorization

CPT codes

Medical terminology

Critical thinking

Formazione

High School Diploma or GED

Medical Assisting or Practical Nursing

Strumenti

Personal computers

Descrizione del lavoro

Ensemble Health Partners seeks a Bedded Insurance Authorization Specialist to secure initial and concurrent insurance authorizations for hospital admissions. The role ensures accurate documentation of benefits, eligibility, and payor requirements while supporting medical necessity.

Responsibilities include verifying coverage, obtaining required authorizations, and maintaining regulatory compliance. Strong computer skills and prior experience with insurance authorizations are essential for