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 Standard workflow of all Clinical Review Patient Work QueuesScheduling and management of physician peer to peer processProcessing of daily insurance information logsManage onbase for incoming fax communicationsAccessing and managing insurance portals: Navinet, Availity, PEAR, etcTrouble shoot delays in processing of insurance information for authorization, ensuring clinical reviews processed timelyFollow up on determinations on all inpatient hospitalizationsManagement of late/untimely denialsCollaboration with HCA team to ensure accurate insurance verification and timely notice of admissionsManagement of daily discharge communication to contracted insurersDelivery of Medicare Outpatient Observation Notice, NJ OBS Form, and Cooper Code 44 formsManagement of Livanta Discharge Appeal processAccurate EPIC Case Management Module data input, staff Epic training, and identification of process improvements.Maintain and update department lists, grids, educational materials, and shared drive Field incoming calls for the Care Management department and direct to appropriate staff member Additional Administrative duties for the department as assigned: AMION, Kronos, Payer Comm Updates Ordering of departmental supplies, such as: Business cards/lab coats, Konica/Staples office supplies, etc Management of Letters of agreement, and departmental invoices as assigned Experience Required 2+ years office experience preferredPrevious experience with EPIC, Outlook, and Excel preferred.Exceptional organizational and communication skills.Previous experience with insurance company authorizations and utilization review processes preferred.Ability to work independently. Education Requirements HS diploma or equivalent. Associates or Bachelor's Degree preferred. Special Requirements Experience with Kronos and/or completing staff schedules/assignments.Experience developing training tools.Experience with insurance portals: Navinet, Availity, Optum, PEAR Options Apply for this job onlineApplyShareRefer this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed 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 HRRecruitment@CooperHealth.edu View Apply Start Completed Application FAQsSoftware Powered by iCIMS
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