Insurance Authorization Specialist

Job Summary

A company is looking for a Bedded Insurance Authorization Specialist.

Key Responsibilities

• Perform initial and concurrent insurance authorization securement and clinical submission for patients admitted to the hospital
• Verify insurance eligibility, confirm benefits, and ensure timely acquisition of authorizations to prevent denials
• Analyze patient visit information to determine authorization needs and ensure compliance with payer requirements

Required Qualifications

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