Bedded Insurance Authorization Specialist

Ensemble Health Partners

. Perform initial and concurrent insurance authorization securement, clinical submission, and denial prevention for patients admitted to hospitals .

Posted 10/12/2026full-timeRemote • United StatesMid-LevelSenior💰 $17 - $19 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in insurance authorization processes, including verification of eligibility, benefits, and medical necessity documentation. Possesses strong problem-solving abilities and effective communication skills to manage patient interactions and authorization denials.

Highest-signal resume keywords

Insurance Authorization ExperienceCPT Code KnowledgeCritical Thinking SkillsCertified Revenue Cycle Representative (CRCR)Medical Terminology Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance Eligibility VerificationClinical Documentation SubmissionAuthorization Denial PreventionPatient Liability CalculationPayer-Specific Criteria Review

Soft Skills

Verbal Communication SkillsWritten Communication SkillsProblem-Solving SkillsAbility to Handle Stressful SituationsPositive Demeanor

Tools & Technologies

Online Insurance Eligibility SystemsPre-Certification SystemsStandard Office EquipmentPersonal Computers

Certifications & Qualifications

Certified Revenue Cycle Representative (CRCR)

Industry Keywords

Insurance AuthorizationMedical TerminologyHospital ExperiencePatient Care PrinciplesGrowth and Development Principles

About the role

Key responsibilities & impact

Perform initial and concurrent insurance authorization securement, clinical submission, and denial prevention for patients admitted to hospitals
Confirm patients’ health insurance is active and covers procedures
Confirm covered benefits, policy effective dates, coverage limitations, requirements, and patient liabilities
Check deductible, coinsurance, and copayment amounts and notify patients of amounts due when applicable
Verify and document insurance eligibility and benefits
Review and submit clinical documentation to support treatment appropriateness and medical necessity
Obtain, verify, and maintain insurance authorizations for designated patients
Ensure initial and subsequent authorizations are obtained timely
Reduce and eliminate authorization denials
Review patient visit information and payer-specific criteria to determine authorization needs
Ensure services are within benefit plans and use appropriate contracted providers
Review visit data for accurate payer submissions and timely follow-up
Achieve greater than 95% accuracy/quality and productivity

Requirements

What you’ll need

Experience working with insurance companies and/or medical authorizations
Comprehensive understanding of insurance authorization requirements, contract benefits, CPT codes, and medical terminology
High level of critical thinking and problem-solving skills
Ability to retain material quickly
Positive demeanor and solid verbal and written communication skills
Ability to handle considerably stressful situations and multiple tasks simultaneously
Working knowledge of personal computers and standard office equipment
Ability to access online insurance eligibility and pre-certification systems
Ability to successfully complete additional job-related training
Knowledge and skills necessary to provide care appropriate to the age of patients served
Knowledge of growth and development principles across the life span
High School Diploma or GED
Certified Revenue Cycle Representative (CRCR) required within 9 months of hire; company paid
Hospital experience preferred
2 Year/Associates Degree in Medical Assisting or Practical Nursing preferred

Benefits

Comp & perks

Remote Work
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs
Career Advancement
Professional certification relevant to the field
Quarterly and annual incentive programs
Reasonable accommodations for qualified individuals with disabilities