AUTHORIZATION SPECIALIST

Cooper University Health Care; Camden (NJ); Híbrido; USD 42.000 - 56.000; Jornada completa

Descripción de la vacante

Cooper Norcross Health in Camden, NJ is seeking an Insurance Verification Specialist to support inpatient and outpatient services by confirming eligibility, benefits, and authorizations prior to service.

The role requires working in a high-volume call center, familiarity with payor portals (NaviNet, Passport) and EMR systems (EPIC, Imagecast/IDX Flowcast). Excellent communication and computer skills are essential for success.

Formación

• 2 years of insurance verification or registration in a hospital or physician office preferred.
• Experience with payor portals such as NaviNet or Passport preferred.
• Familiar with medical insurance plans, coordination of benefits, and pre-certifications required.
• Proficient in Microsoft Word, Excel, Outlook; strong communication skills.

Responsabilidades

• Verify insurance eligibility and plan benefits.
• Obtain authorizations and pre-certifications for services.
• Create referrals and coordinate with Cooper PCPs and external providers.
• Explain coverage and patient liability to patients as needed.

Conocimientos

Insurance verification

Call center experience

EMR systems (EPIC etc)

NaviNet/Passport portals

Educación

High School Diploma or equivalent

Herramientas

IDX Flowcast

Imagecast

EPIC EMR

Descripción del empleo

About us

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

Cooper Norcross Health 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.

The health system operates MD Anderson Cancer Center at Cooper as well as four hospitals – its 663-bed flagship Cooper Norcross University Hospital in Camden, its 229-bed Cooper Norcross University Hospital Cape Regional in Cape May Court House, Children’s Hospital at Cooper Norcross Health in Camden, and The Recovery Village Cherry Hill at Cooper, a substance abuse rehabilitation and inpatient treatment facility, in partnership with American Recovery Services.

Cooper Norcross 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 eight years.

More than 2.54 million patients visit Cooper Norcross Health facilities annually. Its 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 Norcross Health, a not-for-profit health system, was named one of America’s Best Large Employers for 2026 by Forbes, ranking among the top 200 in the nation. Visit CooperHealth.org to 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 and coworkers.