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Senior Insurance Authorization Specialist
Ensemble Health Partners. Support Insurance Authorization Specialist I and Insurance Verification Specialist I staff .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance authorization and verification processes, ensuring compliance with regulatory requirements while providing mentorship and support to team members. Proficient in managing workflows and liaising between healthcare providers and insurance companies to secure payment and approvals.
Highest-signal resume keywords
Insurance AuthorizationInsurance VerificationCertified Revenue Cycle Representative (CRCR)Regulatory ComplianceMentoring and Training
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record SelectionDemographic Information ValidationAuthorization Request SubmissionQuality Standards AchievementCustomer Service
Soft Skills
InquisitiveOpen to Innovation
Certifications & Qualifications
Certified Revenue Cycle Representative (CRCR)
Industry Keywords
Insurance CoveragePatient SafetyWorkflow DistributionEscalated Issues ManagementClinical Records Identification
About the role
Key responsibilities & impact- Support Insurance Authorization Specialist I and Insurance Verification Specialist I staff
- Select accurate medical records for patient safety
- Obtain and validate demographic and insurance information
- Work with insurance companies and physician offices to complete authorization requirements and secure payment
- Ensure active and eligible insurance coverage
- Assist the department supervisor with daily workflow, workload distribution, escalated issues, and system/process issue tracking
- Serve as a subject matter expert and answer questions
- Mentor and train new team members
- Identify appropriate clinical records and submit authorization requests based on plan requirements
- Liaise between ordering physicians and insurance companies to identify and communicate approval requirements
- Help the team achieve quality, customer service, and productivity standards
- Perform other duties as assigned
Requirements
What you’ll need- 1–3 years of experience
- High School Diploma/GED required
- Certified Revenue Cycle Representative (CRCR) required within 9 months of hire
- Must be inquisitive and open to innovation, including AI
- Must reside in and be authorized to work within the United States
- Ability to perform insurance authorization and verification functions while meeting regulatory compliance requirements
- Preferred: 2-year/Associate degree
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive healthcare, time off, retirement, and well-being benefits
- Professional development opportunities
- Company-paid Certified Revenue Cycle Representative (CRCR) certification
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility