Authorization Specialist

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...