What are the responsibilities and job description for the AUTHORIZATION SPECIALIST position at Cooper University Hospital?
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. 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.
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.
The New Jersey Pay Transparency Act requires disclosure of the pay range for this position.
A salary offer will vary based on the job role, candidate experience, qualifications, internal pay equity and market data.
Cooper University Health Care is an Equal Opportunity Employer and is committed to equal employment opportunity for all team members. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, or any other status protected by law or regulation. To request reasonable accommodation, contact talent-acquisition@cooperhealth.edu
Cooper University Health Care complies with applicable Federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex.
Cooper University Health Care provides free aids and services to people with disabilities to communicate effectively with us, including qualified sign language interpreters, large print or audio communications, free language services, and written materials in different languages.