Bedded Insurance Authorization Specialist
Job Overview
Location
Remote
Salary
USD 17 - 18.65 hourly
Employment Type
Full-time
Work Arrangement
Remote
Sector
Healthcare & Medical
Experience Level
Entry Level (0-2 years)
Application Deadline
June 12, 2026
About the Company
Ensemble Health Partners is a leading force in technology-enabled revenue cycle management, dedicated to supporting health systems, including hospitals and physician groups. They provide comprehensive, end-to-end revenue cycle solutions and specialized point solutions nationwide.
The company's core mission is to keep communities healthy by ensuring the financial well-being of hospitals. Ensemble emphasizes the importance of a human touch in healthcare, believing that every interaction should be meaningful. Their culture is built on empowering people to challenge the status quo and drive meaningful change.
Ensemble's values are encapsulated in their O.N.E Purpose: Customer Obsession, Embracing New Ideas, and Striving for Excellence. They are recognized for their commitment to innovation, work-life flexibility, strong leadership, and a purpose-driven culture.
Job Description
Ensemble Health Partners is seeking a dedicated Bedded Insurance Authorization Specialist to join their remote team. In this vital role, you will be responsible for securing initial and concurrent insurance authorizations, managing clinical submissions, and implementing strategies to prevent claim denials for all admitted hospital patients.
You will play a key part in ensuring that patients' health insurance is active and covers their procedures, meticulously confirming benefits, coverage limitations, and patient liabilities. This includes calculating deductibles, coinsurance, and copayments, and utilizing estimation tools to inform patients of their financial responsibilities.
Your duties will involve verifying insurance eligibility, reviewing clinical documentation to support medical necessity, and obtaining necessary authorizations in a timely manner. A significant aspect of this role is working proactively to reduce and eliminate authorization denials, ensuring services align with benefit plans and contracted providers.
To apply for this role, click the Apply button on this page and follow the instructions.
Required Skills
Key Responsibilities
- Perform initial and concurrent insurance authorization securement.
- Manage clinical submissions and implement denial prevention strategies.
- Confirm patient health insurance is active and covers procedures.
- Verify patient benefits, coverage limitations, and liabilities.
- Calculate and inform patients of deductibles, coinsurance, and copayments.
- Ensure payer requirements are met, including eligibility verification and benefit confirmation.
- Review and submit clinical documentation to support medical necessity.
- Obtain and maintain insurance authorizations for designated patients.
- Ensure timely acquisition of initial and subsequent authorizations.
- Work to reduce and eliminate authorization denials.
- Analyze patient visit information to determine authorization needs and secure appropriate authorizations.
- Ensure services provided are within benefit plans and utilize appropriate contracted providers.
- Review visit data for accuracy and provide necessary information to payers.
- Follow up on authorization requests in a timely manner.
- Achieve a >95% accuracy/quality and productivity rate.
Qualifications
- 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, solid verbal and written communication skills.
- Professional appearance and approach.
- Ability to handle 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 the patients served.
- Knowledge of principles of growth and development across the life span.
- Ability to assess patient status and interpret information relevant to age-specific needs.
- Hospital experience is preferred.
- High School Diploma or GED required.
- Certified Revenue Cycle Representative (CRCR) required within 9 months of hire (company paid).
Benefits & Perks
- Remote Work
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits Package (healthcare, time off, retirement, well-being programs)
- Career Advancement Opportunities
- Professional development investment
- Quarterly and annual incentive programs
How to Apply
To apply for this role, click the Apply button on this page and follow the instructions.
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Posted Date
February 20, 2026
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