Senior Insurance Authorization Specialist

Ensemble is a leading provider of technology‑enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. The company offers end‑to‑end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country, with a focus on keeping communities healthy by keeping hospitals healthy.

O.N.E Purpose

Customer Obsession: Consistently provide exceptional experiences for clients, patients, and colleagues by understanding their needs and exceeding 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 Ensemble’s “Best in KLAS” principles and consistently delivering outstanding results.

Opportunity

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits
• Career advancement
• On‑site role at Bon Secours – St Mary’s Hospital in Richmond, VA

Pay

This position pays between $18.65 – $25.00 per hour, depending on experience.

Responsibilities

• Support Insurance Authorization I staff in selecting accurate medical records, obtaining and validating demographic and insurance information, and working with insurance companies or physician offices to complete authorization requirements and secure payment.
• Identify appropriate clinical records and submit authorization requests to insurance companies based on plan requirements.
• Serve as liaison between the ordering physician and the insurance company to ensure all requirements for approval are identified and communicated.
• Assist the department supervisor with escalated issues, track system and process problems, and help train and mentor new hires.
• Maintain >95% accuracy/quality on accounts (as measured by audits) and >95% quality of customer‑service etiquette (as measured by phone call audits).
• Meet or exceed the lower controls of average productivity among team productivity standards.
• Perform other duties as assigned.

Requirements

• 1–3 years of relevant experience.
• Inquisitive mindset with openness to innovation, including the use of AI to improve processes and patient/client experiences.

Qualifications

• Minimum Education: High School Diploma or GED (required).
• Preferred Education: 2‑year Associate’s degree.
• Certifications: Certified Revenue Cycle Representative (CRCR) required within 9 months of hire (company‑paid).

Benefits

• Comprehensive benefits package supporting physical, emotional, and financial health (healthcare, time off, retirement, well‑being programs).
• Culture focused on collaboration, growth, and innovation.
• Professional development opportunities, including tuition reimbursement and company‑paid certifications.
• Quarterly and annual incentive programs recognizing exceptional performance.
• Recognition as an award‑winning employer (multiple “Best in KLAS” awards, HFMA MAP Awards, Everest Group PEAK Matrix, Great Place to Work certification, etc.).