Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as the No. 2 hospital in the nation, according to the U.S. and World News Report. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

We are looking for a future caregiver to take on the role as an Authorization Representative l within our world-class team of caregivers. Within this role, you will provide a comprehensive set of insurance authorization services.

At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.

Responsibilities:

• Cross-trained to staff all areas of Authorization supporting any facility, including but not limited to verification, pre-certification, eligibility, benefits including copays, deductibles and out of pocket expenses.
• May be required to flag accounts for high dollar financial clearance. Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
• Maintains productivity and quality expectations set forth by department.
• Performs some registration input in order to ensure accurate patient information for the authorization process.
• Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
• Communicates with physician offices to obtain clinical information and/or coordinate peer-to-per conversations.
• Identifies and utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.
• Other duties as assigned.

Education:

• High school diploma or equivalent.

Certifications:

• None required.

Work Experience:

• Minimum of 2 years of experience in a customer facing role with in person or phone contact.
• Candidate must demonstrate PC skills efficiency.
• Ability to multitask within multiple accounts in high volume insurance verification processes.
• An Associate's degree may substitute for up to one year of the stated experience.
• A Bachelor's degree my substitute for up to two years of the stated experience.

Physical Requirements:

• Sufficient mobility and strength to move around the department and throughout the facility.
• Ability to stand or sit for prolonged periods of time.
• Excessive walking and standing while obtaining patient information when using laptop computer on wheeled device for bedside registration.
• Ability to lift 25 pounds.

Personal Protective Equipment:

• Follows Standard Precautions using personal protective equipment.