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- 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.
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- 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.
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Authorization Specialist - Camden, New Jersey, United States - Cooper University Hospital
Description
About Us:
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team.
Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.
We have a commitment to our employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.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:Communicates daily with insurance companies, internal customers, providers and patients.
Experience 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.
Experience working in a high volume call center preferred.
Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred
License/Certification Requirements:
High School Diploma required
