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AUTHORIZATION SPECIALIST

Cooper University Health Care

Camden, NJ
1 day ago

Job Description

Join Cooper University Health Care as an Authorization Specialist, where you will be vital in ensuring financial clearance for patient services. This role involves verifying insurance eligibility, securing authorizations, and providing essential support to patients and providers, all while contributing to a team committed to excellence in health care.

Key Responsibilities

  • Financially clears scheduled inpatient and outpatient services
  • Verifies insurance eligibility and plan benefits
  • Contacts patients to obtain updated insurance information
  • 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
  • Identifies copayment, deductible, and co-insurance information
  • Collects and processes patient liability payments
  • Provides clear 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 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