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AUTHORIZATION SPECIALIST-ABS - ABS Admin 100 Federal Street

Company: Cooper University Health Care
Location: Camden
Posted on: November 10, 2019

Job Description:

More information about this job:
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 informationValidates 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. Provides clear and concise documentation in systems.Communicates daily with insurance companies, internal customers, providers and patients.Special Requirements:
High School Diploma required.2 years 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.Required License/Certifications/ Registration: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 codesExcellent verbal and written communications skillsAbility to organize, take independent action and project Cooper values to customers andcoworkers.

Keywords: Cooper University Health Care, Camden , AUTHORIZATION SPECIALIST-ABS - ABS Admin 100 Federal Street, Administration, Clerical , Camden, New Jersey

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