Join Cooper University Health Care as an Authorization Specialist and play a crucial role in financial clearance for patient services. You'll verify insurance eligibility, secure authorizations, and ensure patients receive the care they need while navigating insurance complexities.
Key Responsibilities
Financially clears scheduled inpatient and outpatient services
Verifies insurance eligibility and plan benefits
Contacts patients with inactive insurance coverage for updates
Validates coordination of benefits between insurance carriers
Explains insurance plan coverage and benefits to patients
Secures insurance authorizations and pre-certs for patient services
Creates referrals for patients with a Cooper PCP
Refers patients with less than 100% coverage to Financial Screening Navigators
Identifies copayment, deductible, and co-insurance information
Collects and processes patient liability payments prior to service
Provides clear and concise documentation in systems
Communicates daily with insurance companies, internal customers, providers, and patients
Required Qualifications
High School Diploma
2 years insurance verification or registration experience in a hospital or physician office
Preferred Qualifications
Working knowledge of medical insurance plans & products
Coordination of benefits guidelines
Requirements for authorizations, pre-certifications and referrals
Proficiency in working with payor online portals
Experience working in a high volume call center
Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems
Benefits & Perks
Health insuranceDental insuranceVision insuranceLife insuranceDisability insuranceRetirement planProfessional development opportunities