Remote Insurance Authorization Specialist

Ensemble Health Partners; United States; Remote; USD 36,000 - 39,000; Full time

Benefits offered by this job

Remote work options

Tuition reimbursement

Certifications paid

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is seeking a Bedded Insurance Authorization Specialist to perform initial and concurrent insurance authorization securement, clinical submission, and denial prevention for hospital patients. The role emphasizes accuracy (>95%), timely authorizations, and compliance across clients.

Remote work options, certifications, and tuition reimbursement are offered. The position requires experience with insurance companies, CPT codes, and medical terminology, plus strong

Qualifications

• Experience with insurance companies and/or medical authorizations.
• Understanding of insurance authorization requirements, CPT codes, and medical terminology.
• Strong problem-solving, critical thinking, and written/verbal communication skills.
• Ability to handle stressful situations and multitask effectively.

Responsibilities

• Verify patient insurance eligibility and coverage for planned procedures.
• Obtain and maintain required insurance authorizations in a timely manner.
• Review visit data to support authorization requests and payer requirements.
• Reduce and prevent authorization denials and ensure appropriate provider utilization.
• Support documentation and communication with payers and care teams.

Education

High School Diploma or GED

CRCR certification within 9 months of hire

Job description

Ensemble Health Partners is seeking a Bedded Insurance Authorization Specialist to perform initial and concurrent insurance authorization securement, clinical submission, and denial prevention for hospital patients. The role emphasizes accuracy (>95%), timely authorizations, and compliance across clients.

Remote work options, certifications, and tuition reimbursement are offered. The position requires experience with insurance companies, CPT codes, and medical terminology, plus strong