• Job Description

  Req#: 290678

  At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

  We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

  Job Title

  Authorization Representative l - Pre-Access Finance

  Location

  Cleveland

  Facility

  Remote Location

  Department

  Job Code

  U99909

  Shift

  Days

  Schedule

  8:00am-4:30pm/8:30am-5:00pm

  Job Summary

  Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.
  
  
  In our Finance division, caregivers use their knowledge and skills every day to provide exceptional experiences for patients and their families in a variety of diverse functions. Through the talents of over 2,500 dedicated caregivers, our Revenue Cycle Management team supports the Cleveland Clinic mission by securing timely, appropriate payment for services rendered, efficiently patient-friendly. In this role, you will have a strong introduction to future growth within the department.

  Job Details

  A caregiver in this position works remotely (Ohio or Florida based) from 8:00AM – 4:30PM.

  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.

  Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/

  Physical Requirements:

  • Ability to communicate and exchange accurate information.
  • Ability to perform work in a stationary position for extended periods.
  • Ability to work with physical records or operate a computer or other office equipment.
  • In some locations, ability to travel throughout the hospital system.
  • In some locations ability to move up to 25 lbs.

  Personal Protective Equipment:

  • Follows Standard Precautions using personal protective equipment.

  The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

  Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

  Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

  Please review the Equal Employment Opportunity poster .

  Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

• About the company

  PUSHING THE BOUNDARIES OF PERFORMANCE Through the Power of Every One, Cleveland Clinic is ranked as the nation’s No. 2 healthcare system by U.S. News & World Report – the best care for our patients starts with us.

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