Authorization Specialist

Posted 5 Days Ago
Be an Early Applicant
Camden, NJ, USA
In-Office
21-33 Hourly
Junior
Healthtech
The Role
Financially clears inpatient and outpatient services before dates of service. Verifies insurance eligibility, benefits, and coordination of benefits; secures authorizations, pre-certifications, and referrals; explains coverage; identifies patient liabilities; processes payments; and updates inactive insurance information. The role also coordinates with patients, primary care providers, insurers, and internal financial screening teams while using payer portals, eligibility systems, registration software, billing systems, and EMRs.
Summary Generated by Built In
About Us

Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper Norcross Medical School of Rowan University. Headquartered in Camden, New Jersey, Cooper Norcross Health has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings.


Cooper Norcross Health has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers.


The health system operates MD Anderson Cancer Center at Cooper as well as four hospitals – its 663-bed flagship Cooper Norcross University Hospital in Camden, its 229-bed Cooper Norcross University Hospital Cape Regional in Cape May Court House,  Children’s Hospital at Cooper Norcross Health in Camden, and The Recovery Village Cherry Hill at Cooper, a substance abuse rehabilitation and inpatient treatment facility, in partnership with American Recovery Services.


Cooper Norcross University Hospital in Camden is the only Level 1 Trauma Center in South Jersey and the busiest in the region. The hospital has been recognized as a top-performing regional hospital by U.S. News & World Report’s Best Hospitals annual survey for eight years.


More than 2.54 million patients visit Cooper Norcross Health facilities annually. Its ambulatory network encompasses three outpatient surgery centers, seven urgent care centers, a wound care center, and more than 130 physician, physical therapy, and radiology offices extending from the Delaware River to the New Jersey shore.


Cooper Norcross Health, a not-for-profit health system, was named one of America’s Best Large Employers for 2026 by Forbes, ranking among the top 200 in the nation. Visit CooperHealth.org to learn more.

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 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. 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.
Experience Required
  • 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. 
Education Requirements

High School Diploma or equivalent.

Special Requirements
  • 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 codes 
  • Excellent verbal and written communications skills
  • Ability to organize, take independent action and project Cooper values to customers and coworkers.
Salary Min ($)USD $21.00 Salary Max ($)USD $33.00

Skills Required

  • High school diploma or equivalent
  • Two years of insurance verification or registration experience in a hospital or physician office
  • Working knowledge of medical insurance plans and products
  • Knowledge of coordination of benefits guidelines
  • Knowledge of authorization, pre-certification, and referral requirements
  • Proficiency with payer online portals and third-party eligibility systems such as NaviNet or Passport
  • Experience working in a high-volume call center
  • Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems
  • Computer and software application skills, including Microsoft Word, Excel, Outlook, and Access
  • Basic knowledge of medical diagnoses and procedural codes
  • Excellent verbal and written communication skills
  • Ability to organize and take independent action
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The Company
14,000 Employees
Year Founded: 1887

What We Do

Cooper University Health Care is the leading academic health system in South Jersey, providing primary, specialty, tertiary, and urgent care within one complete health system. It operates three hospitals, including a Level I trauma center and a regional children's hospital, along with MD Anderson Cancer Center at Cooper, urgent care centers, and more than 130 outpatient offices. It is affiliated with Cooper Medical School of Rowan University.

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