Bilingual Insurance Authorization Specialist

January 11

⚔️ Virginia – Remote

Although this job is listed in Virginia, this company may be open to hiring remote in other states.

💵 $15 - $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

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Ensemble Health Partners

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Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

Revenue cycle consulting • Revenue cycle assessments • Revenue recovery • Revenue Cycle • EPIC

10,000+ employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Private Equity Round on 2022-03

📋 Description

• The Insurance Authorization Specialist I is responsible for performing insurance authorization for all patients scheduled for services. • Insurance Authorization Specialist I will work within the policies and processes as they are being performed across the entire organization. • 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.

🎯 Requirements

• Must be Bilingual • High School Diploma Required – Associates Preferred • 2 years’ experience in a healthcare related position required. • Experience working with insurance companies and/or pre-authorizations required. • Certification Medical Assisting preferred. • Understanding of admission, billing, payments and denials. • Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification. • Knowledge of medical terminology or CPT or procedure codes. • Patient Access experience with managed care/insurance and Call Center experience highly preferred. • Articulate, personable, dependable and confident with excellent communication skills. • Customer service oriented, builds trust and respect by exceeding customer expectations. • Certified Revenue Cycle Representative (CRCR) required within 9 months of hire.

🏖️ Benefits

• Competitive compensation and benefits packages that reflect our commitment to providing fair and just workplaces. • Wellness programming designed to help our associates enhance their health, including a comprehensive annual health risk assessment. • A culture truly participatory and to strengthen diversity and inclusion. • Growth-Once you've joined our team, you will discover a variety of traditional and online learning opportunities, including tuition reimbursement, to help you acquire new skills and obtain degrees, certifications and CEUs. • And our managers will coach you toward greater success. • Recognition-We recognize our associates through programs that include service awards, celebrations and personal appreciation.