Full-Time
Authorization Specialist
Cooper University Health Care
Academic health system
Compensation Overview
$21 - $33/hr
Camden, NJ, USA
In Person
 Administrative & Executive Assistance (1) |
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- 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 NaviNet, Passport, or other third-party eligibility systems is preferred.
- Experience working in a high-volume call center is preferred.
- Proficiency with 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 is required.
- Basic knowledge of medical diagnoses and procedural codes is required.
- The ability to organize and take independent action is required.
- 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 both internal and external to 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.
- Excellent verbal and written communication skills.
- Ability to project Cooper values to customers and coworkers.
Cooper University Health Care is an academic health system based in South Jersey. The organization provides hospital, specialty, primary, emergency, outpatient, research, and medical education services through an integrated care network. It serves patients, families, clinicians, students, researchers, and communities across southern New Jersey. Its operating model centers on academic medicine and community care supported by physician practices, clinical institutes, technology, facilities, and centralized operations. Teams work across nursing, physicians, allied health, research, education, technology, facilities, administration, and patient care. Teams support coordinated daily delivery.
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