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Cooper Norcross Health

Academic health system serving South Jersey

Authorization Specialist

Clinical Support & Patient AdministrationUpdated on Nov 10
Full-timeCamden, NJ, USA$21 - $33In-person

About the Job

Requirements

  • Two years of insurance verification or registration experience in a hospital or physician office is preferred.
  • Working knowledge of medical insurance plans and products, coordination-of-benefits guidelines, and requirements for authorizations, pre-certifications, and referrals is preferred.
  • Proficiency with payer online portals and systems such as NaviNet, Passport, or other third-party eligibility systems is preferred.
  • Experience working in a high-volume call center is preferred.
  • Proficiency in IDX Flowcast, Imagecast, and EPIC electronic medical record systems is preferred.
  • A high school diploma or equivalent is required.
  • Skill in using computers and software applications, including Microsoft Word, Excel, Outlook, Access, registration systems, and billing systems.
  • Basic knowledge of medical diagnoses and procedural codes.
  • Ability to organize, take independent action, and project Cooper values to customers and coworkers.

Responsibilities

  • Financially clear scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries, and procedures, before the date of service.
  • Verify insurance eligibility and plan benefits.
  • Contact patients with inactive insurance coverage to obtain updated insurance information.
  • Validate coordination of benefits between insurance carriers.
  • Explain insurance plan coverage and benefits to patients as necessary.
  • Secure insurance authorizations and pre-certifications for patient services inside and outside Cooper.
  • Create referrals for patients with a Cooper primary care provider and contact external primary care providers to obtain referrals for patients scheduled with Cooper providers.
  • Refer patients with less than 100% coverage to Financial Screening Navigators.
  • Identify copayment, deductible, and coinsurance information.
  • Collect and process patient liability payments before service.

About the Company

Cooper Norcross Health

Academic health system serving South Jersey

Cooper Norcross Health is an academic health system serving South Jersey from the Philadelphia suburbs to the Jersey Shore. Its Camden flagship is South Jersey's only Level I adult trauma center and the busiest in the Philadelphia region; the system also operates a Level II pediatric trauma center and MD Anderson Cancer Center at Cooper. Patients access primary, specialty, emergency, inpatient, surgical, urgent, and rehabilitation services at Cooper hospitals and outpatient clinics, while physicians teach at Cooper Medical School of Rowan University and advance care and research. Rooted in Cooper Hospital, which opened in 1887, the not-for-profit system is headquartered in Camden, New Jersey.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Camden, NJ
Founded
1887

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