AUTHORIZATION SPECIALIST

Cooper University Health Care; Cape May Court House (NJ); Presencial; USD 42 000 - 55 000; Tempo integral

Resumo da oferta

Cooper Norcross Health is seeking a detail-oriented Insurance Verification and Financial Counseling specialist to support scheduling and patient service. The role requires knowledge of medical insurance terminology, ability to verify eligibility, and excellent communication with patients and care teams.

You will verify benefits, obtain authorizations, explain financial requirements, and coordinate with insurance carriers using EMR and standard office procedures.

Qualificações

• Verifying insurance eligibility prior to service
• Explains financial requirements to patients including authorization process and deductibles
• Accurately processes all requests and documents appropriate information within a time-sensitive environment
• Ability to deal with the public with professionalism and compassion in stressful situations
• Obtains prior authorizations and precertifications
• Creating and obtaining referrals and coordinating benefits between insurance carriers

Responsabilidades

• Verify insurance eligibility and benefits prior to service
• Explain financial requirements including authorization and deductibles to patients
• Process requests accurately within tight timelines
• Demonstrate professionalism and empathy when handling callers and patients
• Obtain prior authorizations and precertifications as required
• Coordinate referrals and benefits with insurance carriers

Conhecimentos

Medical insurance terminology

Scheduling appointments

Customer service

EMR proficiency

Formação académica

High School Diploma or equivalent

Ferramentas

Word

Excel

EMR software

Descrição da oferta de emprego

About us

Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper 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 Advanced Recovery Systems.

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

• Knowledge of medical insurance terminology, computer skills for scheduling and familiarity of general officeprocedures and equipment, arranging appointments for care, providing exceptional customer service
• Verifying insurance eligibility and ensuring that insurance requirements are met prior to delivery of service
• Explains financial requirements to the patients or responsible parties including authorization process and deductibles
• Accurately processes all requests and documents appropriate information within a time-sensitive environment
• Ability to deal with the public with professionalism and compassion in stressful situations and prevent, calm, or defuse irate callers and patients by working with them to identify concerns and properly directs calls
• Ability to hear inquiries from patients, physicians, clients or staff,answer phone and speak with patients
• Verifying insurance eligibility and benefits
• Obtaining prior authorizations and precertifications
• Creating and obtaining referrals
• Coordinating benefits between insurance carriers
• Discussing coverage and financial responsibility with patients
• Referring underinsured patients to Financial Screening Navigators
• Identifying copayments, deductibles, and coinsurance amounts
• Contacting patients regarding inactive insurance coverage

Experience Required

• Extensive knowledge of medical/radiology terminology
• Minimum 3 years medical office/authorization/insurance experience, preferred
• Positive, upbeat disposition with ability to multitask in fast-paced environment
• Must be proficient in Word/Excel and EMR, have good organizational skills

Education Requirements

High School Diploma or equivalent.