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Cooper - Support/Entry level
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AUTHORIZATION SPECIALIST

Camden, NJ Job ID 19262 Job Type Full Time Shift Day Specialty Clerical/Administrative
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About us

At 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.

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Testimonial Placeholder Image

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.

Group of diverse Cooper employees

Diversity, Equity, and Inclusion

We have always strived to create a diverse and inclusive environment that reflects the vibrant community of Camden. But we don’t rest on our reputation. We are constantly asking ourselves how we can be better. From our students to our staff, our patients to our community, we want to be a place where anyone and everyone can feel at home.

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What Inspires Us

Every member of Team Cooper has their own unique story to tell about what inspires them to be with Cooper. Some were kind enough to share them with us.

  • 2022 LGBTQ+ Healthcare Equality Top Performer Award
  • 2023 Forbes America's Best-In-State Employers Award
  • 2023 US News Best Regional Hospitals Award
  • 2023 Procedures and conditions Awards

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