Role Description The Intake Representative - Insurance Verification is responsible for verifying detailed insurance verification of benefits and authorizations requirements for existing patients. The position requires attention to detail, the ability to multitask, and a sense of urgency. Essential Duties and Responsibilities - Verifying correct patient information, including insurance benefits and authorization requirements for permanent and transient patients. - Update patient information in a timely manner to avoid delays in billing cycles. - Contacting the admissions team and/or clinical personnel to obtain missing or incorrect information during initial verification. - Verifying accuracy of data and updating accounts based off weekly audits. - Update patient accounts with newly acquired information and notify appropriate personnel if claims require rebilling or require voiding and regenerating. - Keep up to date on COB rules according to insurance guidelines and requirements. - Maintaining a professional work relationship with all facility and office staff; develop effective relationships at all levels of the organization. MUST HAVE prior insurance verification experience Qualifications - High school diploma or equivalent. - Knowledge of various health insurance programs and the medical insurance industry preferred. - Previous experience verifying detailed insurance benefits and authorization requirements preferred. - Knowledge of medical terminology and government/private insurer rules and regulations. - Must have intermediate computer skills, including Microsoft Office (Word, Excel, Outlook); Working knowledge of Internet for business use. - Requires research and exceptional organization skills to manage a large patient load. - Ability to work in a fast-paced environment, deadline driven environment.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Join VitalCaring – Where Your Passion Changes Lives! Are you looking for a career where compassion meets purpose? At VitalCaring, we’re more than a home health and hospice provider—we’re a family that supports, inspires, and uplifts both our patients and our team members. This is a remote position eligible to those who reside in Alabama, Mississippi, Texas, Louisiana, Oklahoma, or Florida. Essential Functions of an Insurance Verification and Authorization Supervisor: - Implements and follows established company Standard Operating Procedures (SOP) regarding insurance verification and authorization department. - Responsible for employee training and mentoring, reviewing work for accuracy and efficiency, monitoring team performance. - As subject matter expert for team, answers questions and provides daily support and guidance as needed. - Hosts and documents monthly 1:1’s with direct reports to discuss performance, communicate issues, foster productive relationships, and maintain open communication with each team member. - Develops and communicates goals and objectives, documents and hosts annual performance reviews for each team member. - Provides opportunities for professional growth and development. - Perform regular audits of records for accuracy, completeness, and security. - Collaborate with clinical and administrative staff to support department success. - Identifies potential Bad Debt and reports to the Revenue Cycle Manager, Revenue Cycle Director, and Vice President, Revenue Cycle in a timely fashion. - Generate reports and statistics related to insurance verification and authorization activities, compliance, and productivity. - Works with internal and external personnel to approve and clear billing per company policy and regulatory guidelines. - Monitors workflows throughout the day to ensure timely processing. - Maintains effective, professional communication with internal and external staff including communication of frequent chart errors to the department and operational leaders. - Serves as a subject matter expert and can perform tasks the department is responsible for. - Maintains compliance with internal policies, procedures, and regulations, including federal and state laws. - Performs all other duties as assigned. Qualifications - Computer skills required; knowledge of MS Office, Excel, Outlook, Teams, and similar software preferred. - Strong understanding of healthcare documentation and medical terminology, especially related to home health. - Knowledge of HIPAA, CMS, and state/federal regulations related to insurance and prior authorization. - Proficiency in EHR system (HCHB) preferred. - Knowledge of payor portals and clearinghouses such as Palmetto, Waystar, and Availity strongly preferred. - Excellent interpersonal and organizational skills. - Strong leadership and communication skills. - High attention to detail and data accuracy. - Ability to manage multiple tasks and meet deadlines. Requirements - Three years in insurance verification or prior authorization in home health. - One year supervisory or leadership experience preferred. - Experience working with remote teams is preferred. - Reliable transportation and valid and current auto liability insurance. Benefits - Medical, Dental & Vision. - Pharmacy Benefits. - Virtual & Mental Health Support. - Flexible Spending Accounts (FSAs) & Health Savings Account (HSA). - Supplemental Health & Life Insurance. - 401(k) with Company Match. - Employee Referral Program. - Prepaid Legal Plans. - Identity Theft Protection. - Paid Time Off. - Pet Insurance. - Tuition & Continuing Education Reimbursement.

• Inbound telephone support to identify the needs of customers of a mobile technology insurance company, answer questions, and resolve their requests. • The specialist must identify the customer's need and provide a practical, objective solution in accordance with the product and/or service procedures. • Each interaction may involve different types of situations reported by the customer. • Use systems to record interactions and perform service-related tasks. • Demonstrate empathy in every customer interaction.

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: - Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. - Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. - Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: - Bonus Incentives - Paid Certifications - Tuition Reimbursement - Comprehensive Benefits - Career Advancement - This position pays between $17.00 - $18.65/hr based on experience The Insurance Authorization Specialist is responsible for performing insurance authorization for all patients scheduled for services. Insurance Authorization Specialist I will work within the policies and processes as they are being performed across the entire organization. Insurance Authorization Responsibilities include: - The Insurance Authorization Specialist is responsible for selecting accurate medical records for patient safety and working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment. - Identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval. - Will be the liaison between the ordering physician and insurance company to ensure any and all requirements to secure approval are identified and communicated. Experience We Love: - Knowledge of appeals concepts and principles - Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements - Ability to use independent judgement and to manage and impart confidential information - Ability to analyze - Strong written communication and interpersonal skills - Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation - Knowledge of current and developing issues and trends in medical coding procedures requirements - Ability to clearly communicate medical information to professional practitioners and/or the general public - Ability to adapt and modify medical billing procedures, protocol, and data management systems to meet specific operating requirements - Ability to provide guidance and training to professional and technical staff in area of expertise. - Ability to flex work schedule on an as needed basis to meet the business needs. Required Qualifications: - High school diploma or GED - 2+ years of Insurance Authorization experience Certification: - Certified Revenue Cycle Representative (CRCR) required within 9 months of hire -Company Paid Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 - Innovation - Work-Life Flexibility - Leadership - Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: - Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. - Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. - Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. - Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range. EEOC – Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights