Bedded Insurance Authorization Specialist
Core
Secure initial and concurrent insurance authorizations, verify benefits coverage, and prevent denials for hospitalized patients.
Role type
Bedded Insurance Authorization Specialist
Builds
Insurance authorization approvals and denial prevention for hospital clients
Domain
Healthcare revenue cycle management
Required skills
Insurance authorization processes, CPT codes, medical terminology, benefit verification, clinical documentation review, payer requirements knowledge, eligibility verification, denial prevention strategies
Preferred skills
Hospital experience, Medical Assisting or Practical Nursing background, Associate's degree
Technologies
Online insurance eligibility systems, pre-certification systems, standard office equipment
Responsibilities
Confirm patient insurance active status and procedure coverage, verify benefit details including deductibles and copayments, review clinical documentation for medical necessity, obtain and maintain insurance authorizations, analyze visit data to ensure accurate payor information, reduce authorization denials
Seniority
Entry-level to Mid-level, individual contributor