Insurance Authorization Specialist

Job Summary

A company is looking for a Bedded Insurance Authorization Specialist to perform insurance authorization tasks for patients admitted to the hospital.

Key Responsibilities

• Perform initial and concurrent insurance authorization securement and clinical submission
• Verify patient insurance eligibility and document benefits, including coverage limitations and patient liabilities
• Reduce authorization denials by ensuring timely acquisition of necessary authorizations and supporting documentation

Required Qualifications and Education

• Experience working with insurance companies and/or medical authorizations
• Comprehensive understanding of insurance authorization requirements, contract benefits, and medical terminology
• High school diploma or GED required; Certified Revenue Cycle Representative (CRCR) within 9 months of hire
• Hospital experience preferred
• 2-Year Associate Degree in Medical Assisting or Practical Nursing is preferred