Pre-Authorization Specialist FT Cardiology Kearny

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

Pre-Authorization Specialist FT Cardiology Kearny

Req Id: 66146

Englewood Health, is a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey. We are dedicated to fostering a supportive and inclusive work environment where every team member can bring their skills, creative ideas, positive approaches, and transforming the lives of patients and the communities we serve.

Job Summary

Verify patient insurance eligibility, benefits, and coverage to ensure accurate processing of services and minimize financial barriers to care. Review payer requirements and obtain necessary pre-authorizations for diagnostic exams, imaging studies, procedures, and specialty services in a timely manner. Communicate effectively with insurance carriers, healthcare providers, and patients regarding authorization status, coverage limitations, and required documentation. Maintain accurate records, ensure compliance with payer guidelines, and proactively resolve authorization issues to prevent delays in patient treatment, scheduling, and reimbursement. This role requires strong attention to detail, organizational skills, and a commitment to providing excellent patient service.

Department

Cardiology

Location

Kearny

Status

Fulll Time

Hours

9am to 5pm

Job Essentials

• Verifies that pre-certification obtained by ordering physician are completed for the correct exam as well as authorized for the correct site.

Education Requirements

• High School Graduate or GED required.

Englewood Health job postings provide a minimum rate to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc. The minimum rate does not include bonuses/incentives, differential pay or other forms of compensation. In addition to the minimum rate, eligible employees may receive comprehensive benefits, including health insurance, retirement plans, paid time off, and other wellness resources.

Minimum rate: 18.50

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