Bedded Insurance Authorization Specialist

Job Summary

A company is looking for a Bedded Insurance Authorization Specialist.

Key Responsibilities

• Perform initial and concurrent insurance authorization securement for patients admitted to the hospital
• Verify patient insurance coverage, benefits, and eligibility while ensuring compliance with payer requirements
• Analyze patient visit information to determine authorization needs and submit clinical documentation to support medical necessity

Required Qualifications

• 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) required within 9 months of hire
• Hospital experience preferred
• 2-Year/Associates Degree in Medical Assisting or Practical Nursing preferred