Remote Insurance Authorization Specialist

Ensemble Health Partners; Oregon; Hybrid; USD 23,000 - 26,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is seeking an Insurance Authorization Specialist for a remote role across the United States. The position supports securing payments by selecting proper medical records and coordinating with insurers and physicians to complete authorization requirements.

Applicants should have at least 2+ years of Insurance Authorization experience, a high school diploma or GED, and be willing to pursue CRCR certification within 9 months.

Qualifications

• Knowledge of appeals concepts and principles.
• Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements.
• Ability to analyze.
• Strong written communication and interpersonal skills.
• Knowledge of current and developing issues and trends in medical coding procedures requirements.
• Ability to adapt and modify medical billing procedures, protocol, 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

• 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.
• 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.

Skills

Advanced medical coding

Medical billing systems

Analytical thinking

Written communication

Regulatory knowledge

Education

High school diploma or GED

Job description

Ensemble Health Partners is seeking an Insurance Authorization Specialist for a remote role across the United States. The position supports securing payments by selecting proper medical records and coordinating with insurers and physicians to complete authorization requirements.

Applicants should have at least 2+ years of Insurance Authorization experience, a high school diploma or GED, and be willing to pursue CRCR certification within 9 months.