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/