Authorization Specialist

Cooper University Health Care; Camden (NJ); On-site; USD 29,000 - 45,000; Full time

Job summary

Cooper University Health Care in Camden, NJ, seeks an Insurance Verification Specialist to verify eligibility, benefits, and referrals before services are rendered. You will coordinate benefits, obtain authorizations, and create referrals for patients with Cooper PCPs, ensuring accurate billing and pre-certifications.

Ideal candidates have 2+ years in hospital-based insurance verification, call-center experience, and proficiency with IDX Flowcast, NaviNet, Passport, and EPIC EMR.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Insurance verification

Coordination of benefits

Pre-certifications

Referral processing

NaviNet / Passport

EPIC EMR

IDX Flowcast

Call center experience

Microsoft Office

Education

High School Diploma or equivalent

Tools

NaviNet

Passport

EPIC EMR

IDX Flowcast

Imagecast

Job description

About Us

About Cooper University Health Care

Cooper University Health Care is a leading academic health system affiliated with Cooper Medical School of Rowan University. Cooper, headquartered in Camden, New Jersey, has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings.

Cooper has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers.

Cooper operates MD Anderson Cancer Center at Cooper as well as three hospitals – its 663-bed flagship Cooper University Hospital in Camden, its 229-bed Cooper University Hospital Cape Regional in Cape May Court House, and Children’s Regional Hospital in Camden.

Cooper University Hospital in Camden is the only Level 1 trauma center in South Jersey and the busiest in the region. The hospital has been recognized as a top-performing regional hospital by U.S. News & World Report’s Best Hospitals annual survey for six years.

More than 2.54 million patients visit Cooper’s facilities annually. Cooper’s ambulatory network encompasses three outpatient surgery centers, seven urgent care centers, a wound care center, and more than 130 physician, physical therapy, and radiology offices extending from the Delaware River to the New Jersey shore.

Cooper was named one of America’s Best Large Employers for 2026 by Forbes, ranking among the top 200 in the nation.

Visit CooperHealth.orgto learn more.

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 andcoworkers.

Salary Min ($)

USD $21.00

Salary Max ($)

USD $33.00