Pre-Authorization Specialist FT Cardiology Kearny

Englewood Health, is a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey. We are dedicated to fostering a supportive and inclusive work environment where every team member can bring their skills, creative ideas, positive approaches, and transforming the lives of patients and the communities we serve.

Job Summary:
Verify patient insurance eligibility, benefits, and coverage to ensure accurate processing of services and minimize financial barriers to care. Review payer requirements and obtain necessary pre-authorizations for diagnostic exams, imaging studies, procedures, and specialty services in a timely manner. Communicate effectively with insurance carriers, healthcare providers, and patients regarding authorization status, coverage limitations, and required documentation. Maintain accurate records, ensure compliance with payer guidelines, and proactively resolve authorization issues to prevent delays in patient treatment, scheduling, and reimbursement. This role requires strong attention to detail, organizational skills, and a commitment to providing excellent patient service.

Department: Cardiology

Location: Kearny
Status: Fulll Time
Hours: 9am to 5pm