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Authorization specialist
Mediabistro Camden, NJ
$92k-113k (estimate)
Full Time 1 Month Ago
Save

Mediabistro is Hiring an Authorization specialist Near Camden, NJ

AUTHORIZATION SPECIALISTCamden, NJJob ID

12210

Job Type

Per DiemShift

DaySpecialty

Finance / Accounting

Apply

About us

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.

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 preferredEducation Requirements

High School Diploma requiredApply

Last updated : 2024-06-02

Job Summary

JOB TYPE

Full Time

SALARY

$92k-113k (estimate)

POST DATE

05/02/2024

EXPIRATION DATE

08/27/2024

WEBSITE

mediabistro.com

HEADQUARTERS

New York, NY

SIZE

100 - 200

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The following is the career advancement route for Authorization specialist positions, which can be used as a reference in future career path planning. As an Authorization specialist, it can be promoted into senior positions as a Medical Policy Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Authorization specialist. You can explore the career advancement for an Authorization specialist below and select your interested title to get hiring information.

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If you are interested in becoming an Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Authorization Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Authorization Specialist job description and responsibilities

Updates patient insurance and demographics information as needed.

03/31/2022: Florence, SC

Request, follow up and secure prior-authorizations prior to services being performed.

03/30/2022: Rochester, NY

Complete authorizations and referrals for services, including appointments and procedures.

01/29/2022: Clarksville, TN

Monitors incoming patient orders and gathers information needed to complete the pre-authorization and scheduling of an order

03/22/2022: Ann Arbor, MI

Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed

01/29/2022: York, PA

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Authorization Specialist jobs

There are great benefits to having a Prior Authorization Certified Specialist on staff to help with the administrative process.

03/31/2022: Greensboro, NC

Give credence to customer complaints.

02/08/2022: Salem, OR

Create a quick reference guide of your payor contacts

04/11/2022: Cincinnati, OH

Authorization Specialist assist with other clerical tasks as needed.

01/22/2022: Lincoln, NE

Licenses and certifications are not usually required to work as a prior authorization specialist.

03/09/2022: Bremerton, WA

Step 3: View the best colleges and universities for Authorization Specialist.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College