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 patient insurance eligibility and benefits, including coverage limitations and patient liabilities
• Ensure timely acquisition of insurance authorizations and work to reduce authorization denials

Required Qualifications, Training, 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/Associates Degree in Medical Assisting or Practical Nursing preferred