Ensemble Health Partners is seeking a Bedded Insurance Authorization Specialist to support hospital clients by performing initial and concurrent insurance authorization securement, clinical submission, and denial prevention for admitted patients.
This role focuses on verifying insurance eligibility and benefits, ensuring payer requirements are met, obtaining and maintaining authorizations, and reducing authorization denials. The specialist works within organizational policies and regulatory compliance requirements while helping support accurate and timely payer communication.
Requirements & Qualifications
The ideal candidate will have:
- Experience working with insurance companies and/or medical authorizations
- A strong understanding of insurance authorization requirements, contract benefits, CPT codes, and medical terminology
- Critical thinking and problem-solving skills with the ability to learn quickly
- Strong verbal and written communication skills
- The ability to handle stressful situations and manage multiple tasks simultaneously
- Working knowledge of personal computers and standard office equipment
- Ability to use online insurance eligibility and pre-certification systems
- Willingness to complete additional job-related training when offered
- High school diploma or GED required
- Certified Revenue Cycle Representative (CRCR) required within 9 months of hire
- Hospital experience preferred
- Associate degree preferred, especially in Medical Assisting or Practical Nursing
Benefits & Perks
Benefits and perks include:
- Remote work
- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits
- Career advancement opportunities
- Supportive culture focused on collaboration, growth, and innovation
- Professional certification support
- Recognition and incentive programs
Location
Ohio, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago