Welcome page Returning External Candidate? Log back in! Lead Authorization Special Location US-NJ-Camden Job ID 26990 Category Clerical Shift 1 Type Full Time Department Name Access Business Services 1 Federal Street 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 by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

 

Discover why Cooper University Health Care is the employer of choice in South Jersey.

Short Description

Acts in lead position to other Insurance Specialists ABS, coordinating daily work assignments and facilitating resolution of any problem accounts or issues. 

 

Trains new employees on Insurance Specialist job functions, policies, procedures, tools and systems. 

 

Prepares training and reference materials and keeps all information current.

 

Performs all duties of Insurance Specialist ABS, including but not limited to the following:

Verifies insurance eligibility and plan benefits. Contacts patients with inactive insurance coverage to obtain updated insurance informationValidates 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

3-5 years insurance verification or registration experience in a hospital or physician office.

 

Working specifically with medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals.

 

Proficiency in working with payor on-line portals, as well as NaviNet, Passport, or other third party eligibility and pre-certification systems required.

 

Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred.

Education Requirements

High school diploma required.  Bachelor’s degree preferred.

Special Requirements

Excellent verbal and written communication skills.

 

Detail oriented; ability to multi-task using multiple information systems.

 

Working knowledge of medical diagnoses and procedural codes.

 

Proficiency in use of MS Office Word, Excel, Outlook, Access and Power Point.

 

Ability to organize, take independent action and project Cooper values to customers and co-workers.

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 FAQs

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