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Insurance Authorization Specialist- Mercy Healthcare Center Toledo

Job ID: 4669122
Updated: October 19, 2018
Geographic Location: 
Department: Insurance Authorization
Full/Part Time: Full-Time
Shift: Days
Standard Hours: 40
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Job Summary

This position is located onsite with Mercy Health, a client of Ensemble Health Partners. To learn more about Mercy, click the link below to apply.

The Specialist of Insurance Authorization is responsible for performing insurance authorization for all patients scheduled for services at Mercy Health.  They are responsible for performing these functions while meeting the mission and goals of Mercy Health ministry and all requlatory compliance requirements.  The Specialist of Insurance Authorization will work within the policies and processes as they are being performed across the entire organization.

Required Minimum Education: High School Diploma/GED

Certification Required: CRCR- must get within 6 months of hire.

Preferred Education: 2 year/Associated Degree in Business or Healthcare Adminstration

Other Knowledge, Skills, and Abilities Required: Understanding of Revenue Cycle including admission, billing, payments and denials.  Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.  Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes.

Other Knowledge, Skills, and Abilities Preferred: Patient Access experience with mananaged care/insurance and Call Center experience highly preferred.

Hours

Full-Time, 40 hours a week, Days / Afternoons, 8:30 a.m. to 5:00 p.m.

Equal Employment Opportunity

It is our policy to  abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

About Us

This position will be a part of the revenue cycle team at Ensemble Health Partners - a wholly owned subsidiary of Mercy Health. Ensemble Health Partners specializes in providing revenue cycle solutions and creating real value for its clients by building relationships, reducing revenue cycle spend and delivering exceptional results. Ensemble partners with hospitals across the United States to make real and lasting improvements that impact the bottom line.

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