Remote Insurance Authorization Specialist - Revenue Cycle

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

Benefits offered by this job

Bonus incentives

Certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Associate benefits

Job summary

Ensemble Health Partners is seeking an Insurance Authorization Specialist. The role focuses on selecting records for authorization, coordinating with insurers, and ensuring clinical requirements are met to secure payment.

The position is remote within the United States, with travel to client sites as needed. Applicants should have strong knowledge of medical coding, billing, and regulatory guidelines to support compliant, efficient authorizations.

Qualifications

• Knowledge of appeals concepts and principles.
• Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements.
• Ability to analyze data and manage confidential information.
• Strong written communication and interpersonal skills.
• Knowledge of legal and regulatory compliance related to medical coding.

Responsibilities

• Select accurate medical records for patient safety and complete authorization requirements.
• Identify appropriate clinical records and submit authorization requests to insurers per plan rules.
• Serve as liaison between ordering physician and insurer to meet approval requirements.

Skills

Appeals concepts

Medical coding

Billing systems

Regulatory compliance

Data analysis

Written communication

Job description

Ensemble Health Partners is seeking an Insurance Authorization Specialist. The role focuses on selecting records for authorization, coordinating with insurers, and ensuring clinical requirements are met to secure payment.

The position is remote within the United States, with travel to client sites as needed. Applicants should have strong knowledge of medical coding, billing, and regulatory guidelines to support compliant, efficient authorizations.