Authorization Specialist

5 days ago


Vero Beach, Florida, United States Cleveland Clinic Full time
About the Role

Cleveland Clinic is seeking a highly skilled Authorization Representative II to join our team. As a key member of our healthcare team, you will play a critical role in supporting patients' access to care by interacting with external insurance providers to comply with prior authorization requirements.

Key Responsibilities
  • Confirm benefits and submit for prior authorization
  • Contact insurance payers for account resolutions
  • Contact physicians' offices for clinical information needed for peer-to-peer conversation
  • Identify and utilize appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process
  • Maintain open communication with physicians and their offices, patients and all ancillary areas in the facility
  • Perform some registration input in order to ensure accurate patient information for the authorization process
Requirements
  • High school diploma or equivalent
  • Minimum of 3 years of experience in a customer-facing role with in-person or phone contact
  • Minimum 1 year working with insurance payers or patient registration
  • Associate's degree may substitute for up to one year of the stated experience
  • Bachelor's degree may substitute for up to two years of the stated experience
What We Offer
  • Competitive pay range: $16.47 - $23.61 per hour
  • Opportunities for growth and professional development
  • A supportive and collaborative work environment
  • Comprehensive benefits package, including healthcare, dental, vision, and retirement


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