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Remote Insurance Authorization Jobs in Michigan (NOW HIRING)

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Remote Insurance Authorization information

What are the most common challenges faced in a Remote Insurance Authorization role?

One of the main challenges in this role is navigating the various requirements and protocols set by different insurance companies, which can frequently change. Remote Insurance Authorization professionals must stay organized and up-to-date to ensure timely approvals and avoid delays in patient care. Effective communication with both healthcare providers and insurance companies is also essential, especially when clarifying documentation or resolving discrepancies. Being successful often involves balancing a high volume of requests while maintaining accuracy and compliance with confidentiality standards.

What is a Remote Insurance Authorization job?

A Remote Insurance Authorization job involves reviewing and processing insurance pre-authorizations for medical procedures, medications, or treatments from a remote location. Professionals in this role communicate with healthcare providers and insurance companies to ensure that necessary approvals are obtained. They must verify patient coverage, submit authorization requests, and follow up on approvals or denials. Strong attention to detail, knowledge of medical terminology, and familiarity with insurance policies are essential for success in this role.

What are the key skills and qualifications needed to thrive in the Remote Insurance Authorization position, and why are they important?

To thrive as a Remote Insurance Authorization, strong attention to detail, knowledge of medical terminology, and experience with health insurance protocols are essential, often supported by a background in healthcare administration or medical billing. Familiarity with insurance authorization software, electronic health records (EHR), and payer portals is typically required. Excellent communication, time management, and problem-solving skills distinguish top performers in this role. These skills are crucial to ensure fast, accurate processing of authorization requests, minimize denials, and maintain a positive patient and provider experience.

What are popular job titles related to Remote Insurance Authorization jobs in Michigan? For Remote Insurance Authorization jobs in Michigan, the most frequently searched job titles are:
What cities in Michigan are hiring for Remote Insurance Authorization jobs? Cities in Michigan with the most Remote Insurance Authorization job openings:
Support Specialist- Utilization Review (Non-Nursing)/Full Time/Remote

Support Specialist- Utilization Review (Non-Nursing)/Full Time/Remote

Henry Ford Health System

Troy, MI • On-site, Remote

Full-time

This job post has expired today. Applications are no longer accepted.


Henry Ford Health rating

7.0

Company rating: 7.0 out of 10

Based on 544 frontline employees who took The Breakroom Quiz

404th of 872 rated healthcare providers


Job description

GENERAL SUMMARY:
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials, and additional information requests received from third party payers within the EMR.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
• Acts as a subject matter expert in insurance authorization requirements, timeframes, and various revenue cycle related requirements.
• Submits all clinical information required by payers.
• Responds to payer requests, inquiries, and/or escalates issues to leadership.
• Processes, familiarizes, and completes communication forms required by payers.
• Works directly with coordinators regarding clinical issues for resolution.
• Processes all incoming communication from payers via fax, voicemail, email and mail, appropriately routes information to assigned team members.
• Update and load case information to payers as needed.
• Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives.
• Identify process improvement strategies.
• Promotes individual professional growth and development by meeting requirements for mandatory continuing education and supports department goals which contribute to success of the organization.
• Perform other duties as requested.
EDUCATION/EXPERIENCE REQUIRED:
  • High School Diploma/G.E.D.
  • Working knowledge of computers and software systems
  • Communication skills, verbal and written, and interpersonal skills necessary to effectively achieve department outcomes.
  • Minimum one (1) year of experience in healthcare
  • Experience working in Epic preferred

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About Henry Ford Health

Sourced by ZipRecruiter

Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915