4 Authorization specialist Jobs in Richmond, VA
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Ensemble Health Partners is Hiring an Authorization specialist Near Richmond, VA
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful.
This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference
The Opportunity :
This position is an onsite role, candidates must be able to work on-site at St. Mary's Hospital
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.
Experience We Love :
- Knowledge of appeals concepts and principles
- Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements
- Ability to use independent judgement and to manage and impart confidential information
- Ability to analyze
- Strong written communication and interpersonal skills
- Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation
- Knowledge of current and developing issues and trends in medical coding procedures requirements
- Ability to clearly communicate medical information to professional practitioners and / or the general public
- 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.
- Ability to flex work schedule on an as needed basis to meet the business needs.
Required Qualifications :
- High school diploma or GED
- 2 years of Insurance Authorization experience
Certification :
CRCR Required within 9 months of hire
Join an award-winning company
Three-time winner of Best in KLAS 2020-2022
2022 Top Workplaces Healthcare Industry Award
2022 Top Workplaces USA Award
2022 Top Workplaces Culture Excellence Awards
Innovation
Work-Life Flexibility
Leadership
Purpose Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include :
- Associate Benefits We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Our Culture Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always.
Our culture is rooted in collaboration, growth, and innovation.
- Growth We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.
Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.
If you require accommodation in the application process, please contact .
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Last updated : 2024-05-12
Job Summary
Full Time
$56k-68k (estimate)
05/14/2024
05/24/2024
ensemblehp.com
Cincinnati, OH
1,000 - 3,000
Related Companies
The job skills required for Authorization specialist include Flexibility, Leadership, Collaboration, Billing, Innovation, Written Communication, etc. Having related job skills and expertise will give you an advantage when applying to be an Authorization specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Authorization specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Authorization specialist positions, which can be used as a reference in future career path planning. As an Authorization specialist, it can be promoted into senior positions as a Medical Policy Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Authorization specialist. You can explore the career advancement for an Authorization specialist below and select your interested title to get hiring information.
If you are interested in becoming an Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Authorization Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Authorization Specialist job description and responsibilities
Updates patient insurance and demographics information as needed.
03/31/2022: Florence, SC
Request, follow up and secure prior-authorizations prior to services being performed.
03/30/2022: Rochester, NY
Complete authorizations and referrals for services, including appointments and procedures.
01/29/2022: Clarksville, TN
Monitors incoming patient orders and gathers information needed to complete the pre-authorization and scheduling of an order
03/22/2022: Ann Arbor, MI
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
01/29/2022: York, PA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Authorization Specialist jobs
There are great benefits to having a Prior Authorization Certified Specialist on staff to help with the administrative process.
03/31/2022: Greensboro, NC
Give credence to customer complaints.
02/08/2022: Salem, OR
Create a quick reference guide of your payor contacts
04/11/2022: Cincinnati, OH
Authorization Specialist assist with other clerical tasks as needed.
01/22/2022: Lincoln, NE
Licenses and certifications are not usually required to work as a prior authorization specialist.
03/09/2022: Bremerton, WA
Step 3: View the best colleges and universities for Authorization Specialist.
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