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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'll play a vital role in financially clearing services and ensuring smooth communication between patients and insurance providers. This position offers competitive compensation and comprehensive benefits, along with opportunities for professional growth.

Key Responsibilities

  • Financially clear scheduled inpatient and outpatient services
  • Verify insurance eligibility and plan benefits
  • Contact patients to obtain updated insurance information
  • Validate coordination of benefits between insurance carriers
  • Explain insurance plan coverage and benefits to patients
  • Secure insurance authorizations and pre-certs for patient services
  • Create referrals for patients having a Cooper PCP
  • Collect and process patient liability payments prior to service
  • Provide clear documentation in systems
  • Communicate daily with insurance companies, internal customers, providers, and patients

Required Qualifications

  • High School Diploma or equivalent
  • 2 years insurance verification or registration experience in a hospital or physician office
  • Skilled in use of computers and software applications (Microsoft Word, Excel, Outlook, Access)
  • Basic knowledge of medical diagnoses and procedural codes
  • Excellent verbal and written communications skills

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 planOpportunities for career growth through professional development