Authorization Specialist - Streamline Patient Care & Insurance

Cooper University Health Care; Camden (NJ); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Retirement plan

Job summary

Cooper University Health Care in Camden, NJ is seeking an Insurance Verification Specialist to verify eligibility, benefits and pre-certifications for inpatient and outpatient services. You will work with payors, NaviNet, Passport, and the EPIC EMR system in a high-volume setting, ensuring accurate financial clearance before procedures.

The role supports patient access and financing; prior hospital or physician office experience and strong communication are essential.

Qualifications

• 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.

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 and 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

Verbal and written communication

Computer literacy (Word, Excel,Outlook

Education

High School Diploma or equivalent

Tools

IDX Flowcast

Imagecast

EPIC EMR

Job description

Cooper University Health Care in Camden, NJ is seeking an Insurance Verification Specialist to verify eligibility, benefits and pre-certifications for inpatient and outpatient services. You will work with payors, NaviNet, Passport, and the EPIC EMR system in a high-volume setting, ensuring accurate financial clearance before procedures.

The role supports patient access and financing; prior hospital or physician office experience and strong communication are essential.