Insurance Authorization Specialist

Job Summary

A company is looking for a Bedded Insurance Authorization Specialist responsible for securing insurance authorizations and ensuring compliance with regulations.

Key Responsibilities

• Perform initial and concurrent insurance authorization securement for patients admitted to the hospital
• Verify patient insurance coverage, benefits, and eligibility while documenting necessary information
• Analyze patient visit information to determine authorization needs and ensure timely follow-up to reduce denials

Required Qualifications, Training, and Education

• Experience working with insurance companies and 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
• Associate's degree in Medical Assisting or Practical Nursing is preferred