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 TitleAuthorization Representative I

                        

LocationCleveland

                    

FacilityRemote Location

                     

DepartmentRCM Pre Access-Finance

                      

Job CodeU99909

                     

ShiftDays

                       

Schedule8:00am-4:30pm

                       

Job Summary

                         

Job Details

Authorization Representative I  

 
Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. 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.    

 
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 supports the Cleveland Clinic mission by securing timely, appropriate payment for services rendered, efficiently patient-friendly. This role is a strong introduction to future growth within the department, including Representative Level II and III, Administrative Program, Quality Assurance and Program Manager positions, and formal leader roles such as Work Leader, Supervisor, Manager and Senior Manager. 

 
A caregiver in this position works the day shift from 8:00AM – 4:30PM.  

This is a remote position open to Ohio residents only.

 
A caregiver who excels in this role will:  

Provide a comprehensive set of insurance authorization services.  

Crosstrain to staff all areas of authorization supporting any facility, such as verification, pre-certification, eligibility and benefits. 

Identify and use appropriate reports to contact insurance payers for resolution to accounts that are pending, denied or in the appeal process.  

Flag accounts for high dollar financial clearance.  

Perform registration input to ensure accurate patient information for the authorization process.  

Communicate with physician offices to obtain clinical information and/or coordinate peer-to-peer conversations.  

 
Minimum qualifications for the ideal future caregiver include:  

High school diploma or GED. 

2 years of experience in a customer facing role with in-person or phone contact OR an associate’s degree and 1 year of experience OR a bachelor’s degree.  

Demonstrated PC skills.  

Ability to multitask within multiple accounts in high volume insurance verification processes. 

 
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