AUTHORIZATION SPECIALIST
Camden, NJ Job ID 19262 Job Type Full Time Shift Day Specialty Clerical/AdministrativeAt Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
Financially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. Financial clearance process encompasses any or all of the following job functions:
• Verifies insurance eligibility and plan benefits.
• Contacts patients with inactive insurance coverage to obtain updated insurance information
• Validates coordination of benefits between insurance carriers.
• Explains insurance plan coverage and benefits to patients, as necessary.
• Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper.
• Creates referrals for patients having a Cooper PCP. Contacts external PCPs to obtain referrals for patients scheduled with Cooper providers.
• 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.
Experience Required
2 years insurance verification or registration experience in a hospital or physician office preferred.
Working knowledge of medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals preferred.
Proficiency in working with payor on-line portals, as well as NaviNet, Passport or other third party eligibility systems preferred.
Experience working in a high volume call center preferred.
Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred.
Education Requirements
High School Diploma or equivalent.
Special Requirements
Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration and billing systems.
Basic knowledge of medical diagnoses and procedural codes
Excellent verbal and written communications skills
Ability to organize, take independent action and project Cooper values to customers and
coworkers.
About the Area
With the help of Cooper, I have obtained my Epic Certification as well as my Masters in Business Administration. Cooper has really been supportive and really helpful in helping me to develop professionally and personally they really believe in a strong work-life balance.
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Cooper in the Community We take our role in the community very seriously. With a mission to serve, to heal and to educate, the Cooper Community Health Outreach Team provides several health education programs, presentations and consultations.
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Benefits We offer a wide range of benefits to ensure that our staff have everything they need to succeed both at work and at home.
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Awards and Designations Cooper University Health Care is recognized by many independent, national organizations for our standards of quality, excellence and safety..
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Military and Veterans Cooper is proud to employ veterans and active military from every branch of the armed services as part of our Cooper team. Their contributions to our organization, our community, and our patients are highly valued and appreciated.
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Education Achieve your academic and professional goals here at Cooper, one of the nation’s top choices for medical, nursing, and allied health professionals.
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Nursing At Cooper, teamwork, respect and professional development are in our DNA. Be part of our team and on the forefront of innovation at the area’s leading academic health system. A Cooper nurse is ready to learn, ready to teach, and above all – ready first.
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