About this role
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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through 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. The financial clearance process encompasses any or all of the following functions:
- Verifies insurance eligibility and plan benefits.
- Contact 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.
Communicate daily with insurance companies, internal customers, providers and patients.
Experience Required
- 2 years of 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.
Salary Min ($)
USD $20.00Salary Max ($)
USD $31.00Other facts
About Cooper University Hospital
Cooper University Health Care is the leading academic health system in South Jersey and provides access to primary, specialty, tertiary, and urgent care, all within one complete health system. Cooper has nearly 14,000 team members including 1,600 nurses, more than 1,000 employed physicians representing 95 specialties and subspecialties, and more than 600 advanced practice professionals. Hospitals throughout the region send their most complex and critically ill and injured to Cooper for treatment by our highly skilled experts.
Ranked year after year by U.S. News & World Report as one of the top health systems in the Philadelphia Metro area, Cooper is consistently recognized for its quality, safety, and exceptional patient care.
Cooper has three hospitals: South Jersey’s only Level I trauma center, Cooper University Hospital in Camden, which is the busiest trauma center in the Philadelphia region; Cooper University Hospital Cape Regional in Cape May Court House, and Children’s Regional Hospital at Cooper, which is the only Level II pediatric trauma center in the Delaware Valley. Cooper is also home to a leading cancer center (MD Anderson Cancer Center at Cooper), six urgent care centers, and more than 130 outpatient offices from the Delaware River to the Jersey Shore, including large regional hubs in Camden, Cherry Hill, Moorestown, Voorhees, Willingboro, and Sewell.
Cooper University Health Care is affiliated with – and its physicians make up the faculty of – Cooper Medical School of Rowan University, which is located on the Cooper Health Sciences Campus in Camden, New Jersey. Cooper has a long history in the City of Camden and is playing a leading role in its revitalization.
What you'll do
- The Authorization Specialist is responsible for financially clearing scheduled inpatient and outpatient services prior to the date of service. This includes verifying insurance eligibility, securing authorizations, and collecting patient liability payments.
Ready to join Cooper University Hospital?
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