Cardiology Pre-Auth Specialist (FT) – Patient-Focused

Englewood Health; Kearny (NJ); On-site; USD 20,000 - 29,000; Full time

Job summary

Englewood Health in Kearny, NJ is seeking a Pre-Authorization Specialist for the Cardiology department. This full-time role verifies patient insurance eligibility, benefits, and coverage, and secures necessary pre-authorizations for exams, imaging, and procedures to prevent delays in care.

The ideal candidate maintains accurate records, communicates with carriers and providers, and resolves authorization issues promptly.

Qualifications

• High School diploma or GED required.
• Experience with insurance verification and pre-authorization processes preferred.
• Attention to detail and strong organizational skills required.

Responsibilities

• Verifies that pre-certification obtained by ordering physician are completed for the correct exam as well as authorized for the correct site.
• Communicates with insurance carriers, healthcare providers, and patients regarding status, coverage, and required documentation.
• Maintains accurate records and proactively resolves authorization issues to prevent delays in care.

Skills

Pre-authorization

Insurance verification

Attention to detail

Education

High School Diploma

Job description

Englewood Health in Kearny, NJ is seeking a Pre-Authorization Specialist for the Cardiology department. This full-time role verifies patient insurance eligibility, benefits, and coverage, and secures necessary pre-authorizations for exams, imaging, and procedures to prevent delays in care.

The ideal candidate maintains accurate records, communicates with carriers and providers, and resolves authorization issues promptly.