Virtual Insurance Professional

Insurance Authorization Specialist
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. 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. Bonus Incentives
Tuition Reimbursement
The Insurance Authorization Specialist 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.
Insurance Authorization Responsibilities include :
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.
Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements.
Ability to use independent judgement and to manage and impart confidential information.
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.
This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
High school diploma or GED
~2+ years of Insurance Authorization experience

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Monster Top Workplace for Remote Work 2024
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.
Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
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 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 View email address on click.appcast.io equity;