AUTHORIZATION SPECIALIST

Cooper Norcross Health; Camden (NJ); On-site; USD 42,000 - 62,000; Full time

Job summary

Cooper Norcross Health in Camden, NJ, is seeking a detail-oriented Insurance Verification Specialist to join its Financial Clearance team. The role focuses on validating insurance coverage and benefits before services, ensuring smooth financial clearance for patients across inpatient and outpatient settings.

You will verify eligibility, obtain pre-authorizations, coordinate benefits, and communicate plan details to patients.

Qualifications

• 2 years of insurance verification or registration experience in a hospital or physician office.
• Experience with payer online portals and third-party eligibility systems.
• Proficiency in IDX Flowcast, EPIC EMR, and related software.
• Excellent verbal and written communication skills; able to work in a fast-paced environment.

Responsibilities

• Verify insurance eligibility and plan benefits for patients.
• Contact patients with inactive insurance to obtain updated information.
• Validate coordination of benefits between carriers.
• Explain coverage and benefits to patients when needed.
• Secure authorizations and pre-certs for services internal and external to Cooper.
• Create referrals for patients with a Cooper PCP and contact external PCPs.
• Refer patients with less than 100% coverage to Financial Screening Navigators.
• Identify copayments, deductibles, and coinsurance.
• Collect and process patient liability payments prior to service.

Skills

Insurance verification experience

Call center experience

Communication skills

Education

High School Diploma or equivalent

Tools

IDX Flowcast

EPIC EMR

NaviNet

Passport

Job description

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.

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.