Biller jobs at Surgery Partners - 6732 jobs

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Responsible for precertification of eligible prescription medications for inpatient and outpatient services based on medical plan documents and medical necessity. Ensures medical documentation is sufficient to meet insurer guidelines for medical necessity documentation and procedure payment. Reviews clinical information submitted by medical providers to evaluate the necessity, appropriateness and efficiency of the use of prescription medications. Assists with patient assistance and grant coordination for Patients for outpatient pharmacies from designated areas. Proactively analyzes information submitted by providers to make timely medical necessity review determinations based on appropriate criteria and standards guidelines. Verifies physician orders are accurate. Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. Contacts insurance companies and third party administrators to gather information and organize work-flow based on the requested procedure. Collects, reads and interprets medical documentation to determine if the appropriate clinical information has been provided for insurance reimbursement and proper charge capture. Serves as primary contact with physicians/physician offices to collect clinical documentation consistent with insurer reimbursement guidelines. Establishes and maintains rapport with providers as well as ongoing education of providers concerning protocols for pre-certification. Communicates information and acts as a resource to Patient Access, Case Management, and others in regard to contract guidelines and pre-certification requirements. Performs research regarding denials or problematic accounts as necessary. Works to identify trends and root cause of issues and recommend resolutions for future processes. Education/Formal Training Requirements High School Diploma or Equivalent Work Experience Requirements 3-5 years Pharmacy (clinical, hospital, outpatient, or specialty) Licenses and Certifications Requirements See Additional Job Description. Knowledge, Skills and Abilities Basic understanding of prescription processing flow. Expertise in utiliizing EMRs to document clinical critieria required for third party approval. Knowledgeable of medical terminology, drug nomenclature, symbols and abbreviations associated with pharmacy practice. Strong attention to detail and critical thinking skills. Ability to speak and communicate effectively with patients, associates, and other health professionals. Ability to diagnose a situation and make recommendations on how to resolve problems. Experience with a computerized healthcare information system required. Familiarity with fundamental Microsoft Word software. Excellent verbal and written communication skills. Supervision Provided by this Position There are no lead or supervisory responsibilities assigned to this position. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity. WHAT WE OFFER Compensation based on experience. Faith and purpose-based career opportunity! Fully paid health benefits Retirement and Life Insurance 12 paid holidays PLUS birthday Lunch is provided DAILY. Professional Development Paid Training ESSENTIAL JOB FUNCTIONS Compile, verify, and organize information according to priorities to prepare data for entry Check for duplicate records before processing Accurately enter medical billing information into the company's software system Research and correct documents submitted with incomplete or inaccurate details Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills Review data for accuracy and completeness Uphold the values and culture of the organization Follow company policies, procedures, and guidelines Verify eligibility in accordance with established policies and definitions Identify and escalate concerns to leadership as appropriate Maintain daily productivity standards Demonstrate eagerness and initiative to learn and take on a variety of tasks Support the overall mission and culture of the organization Perform other duties as assigned by management SKILLS & COMPETENCIES Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management. Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care. EXPERIENCE REQUIREMENTS Required: High school diploma or passage of a high school equivalency exam Medical background preferred but not required. Capacity to maintain confidentiality. Ability to recognize, research and maintain accuracy. Excellent communication skills both written and verbal. Able to operate a PC, including working with information systems/applications. Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access) Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.) About Christian Healthcare Ministries Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through 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. The financial clearance process encompasses any or all of the following functions: * Verifies insurance eligibility and plan benefits. * Contact 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. Provides clear and concise documentation in systems. Communicate daily with insurance companies, internal customers, providers and patients. 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.

A leading health system provider in Kansas City is seeking a Procedural Scheduler to comprehensively coordinate and manage scheduling for clinic patients. Responsibilities include obtaining preauthorizations from insurance companies and managing all EPIC referral work queues. The ideal candidate will possess outstanding organization skills and a strong focus on customer and patient care. This full-time position offers an opportunity to work within a diverse and inclusive environment. #J-18808-Ljbffr

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through 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: * 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 .

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through 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. The financial clearance process encompasses any

Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker. The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices. Essential Functions Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information. Perform fee bill audits according to established procedures and guidelines. Data enter fee fills accurately for electronic transmission. Adhere to established billing performance requirements. Review electronic response to transmitted bills and make modifications accordingly. Respond to telephone inquiries from customers regarding bill payment status. Participate in continuous improvement activities and other duties as assigned. Supervision Received Reports to the Billing Supervisor Experience and Education Required Medical billing certification or at least 2 years of experience working in the medical billing field Data entry experience Additional Skills Needed Effective written and verbal communication Detail oriented Strong organizational ability Basic computer literacy skills Working Environment The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through 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. The financial clearance process encompasses any or all of the following functions: * Verifies insurance eligibility and plan benefits. * Contact 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. Provides clear and concise documentation in systems. Communicate daily with insurance companies, internal customers, providers and patients. 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 .

A prestigious medical center in Dallas is seeking a Surgery Scheduler to provide advanced scheduling for surgical procedures. The ideal candidate will have a High School Diploma, with exposure to physician billing and surgery scheduling, and at least 5 years of experience in a medical office environment. This role involves coordinating with surgeons, obtaining necessary pre-certifications, and ensuring proper scheduling practices. Competitive benefits are offered, emphasizing growth, teamwork, and excellence in patient care. #J-18808-Ljbffr

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through 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. The financial clearance process encompasses any

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The insurance Specialist is responsible for the following: Registration and Charge Entry * Register patients into EPIC from for outside physician practices * Using outside EMRs to verify demographic data (Cerner, Sorian, Epic) * Check eligibility of patients/update insurance coverage * Manual charge entry * Daily work queue edits (registration, interface, documentation) * Enter charge sessions for outside physician practices * Communication with coding vendors as needed * Merging duplicate charts together and send to HIM * Physician Billing Tracking for manual charge entry Experience Required 2 years insurance verification or registration experience in a hospital or physician office. Knowledge of medical insurance and billing requirements. Proficient in Flowcast, HQ, eCAOS, MISYS, Spheris. Knowledge of state and federal medical assistance and health services programs preferred. Ability to organize, take independent action and project Cooper values to customers and co-workers. Experienced scheduling, front desk, and basic knowledge of hospital/physician coding. Education Requirements High School Diploma or Equivalent required. Special Requirements Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Access, registration and billing systems. Excellent verbal and written communications skills. Scheduled Days / Hours: as needed

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through 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: * 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 .

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description This position has a strong emphasis on customer service to our patients and facilitating patient access to professional services. This position must ensure quality patient scheduling, positive telephone etiquette and customer satisfaction in support of the mission of Cooper University Hospital and Cooper University Physicians. Must be knowledgeable of medical terminology, medical insurance, professional billing requirements, and must possess excellent communication skills both verbal and written. Must be skilled in use of computers and applications. Must have the ability to be organized, take independent action and project Cooper's values to both customer and co-workers. Experience Required 2 years of appointment scheduling, insurance verification or registration experience in a hospital or physician office, Medical Terminology preferred. Must be proficient in Flow cast registration, pre-certifications, authorizations, referrals. Excellent customer service skills with strong interpersonal skills and phone etiquette are required Education Requirements High School Diploma or Equivalent required. Special Requirements Computer IDX training program to include: Registration, Scheduling, E-Commerce, and FSC. All incumbents must satisfactorily complete a Cooper systems training program to include: Registration, Scheduling, E-Commerce and FSC Requirement: All new employees must be trained in appointment scheduling and Patient Registration and successfully PASS all IDX training requirements within their probationary period. IDX Training includes : MCA Models, Registration, Basic Management and Eligibilities requirements.

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The insurance Specialist is responsible for the following: Registration and Charge Entry * Register patients into EPIC from for outside physician practices * Using outside EMRs to verify demographic data (Cerner, Sorian, Epic) * Check eligibility of patients/update insurance coverage * Manual charge entry * Daily work queue edits (registration, interface, documentation) * Enter charge sessions for outside physician practices * Communication with coding vendors as needed * Merging duplicate charts together and send to HIM * Physician Billing Tracking for manual charge entry Experience Required 2 years insurance verification or registration experience in a hospital or physician office. Knowledge of medical insurance and billing requirements. Proficient in Flowcast, HQ, eCAOS, MISYS, Spheris. Knowledge of state and federal medical assistance and health services programs preferred. Ability to organize, take independent action and project Cooper values to customers and co-workers. Experienced scheduling, front desk, and basic knowledge of hospital/physician coding. Education Requirements High School Diploma or Equivalent required. Special Requirements Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Access, registration and billing systems. Excellent verbal and written communications skills. Scheduled Days / Hours: as needed

A leading healthcare provider in Houston is seeking a Senior Scheduler to manage appointment scheduling for complex services. The role involves clear communication with patients and medical staff, ensuring timely access to healthcare services, and training new staff members. Candidates should have a high school diploma and relevant experience in medical scheduling or a call center environment. This position offers opportunities for personal growth and a dynamic team environment. #J-18808-Ljbffr

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through 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: * 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 .

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 to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through 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. The financial clearance process encompasses any or all of the following functions: * Verifies insurance eligibility and plan benefits. * Contact 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. Provides clear and concise documentation in systems. Communicate daily with insurance companies, internal customers, providers and patients. 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.

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events Description of Responsibilities The Specialty Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Director of Operations Scope of Supervision None Responsibilities include the following: 1. Responsible for insurance verification for new and existing specialty patients by phone or using pharmacy software or payer portals. 2. Responsible for insurance re-verification for all specialty restart patients 3. Responsible for insurance re-verification for all specialty patients at the beginning of each month and each new year. 4. Responsible for advanced monitoring expiring authorizations for existing specialty patients 5. Responsible for securing advanced re-authorization for existing specialty patients. Participate in surveys conducted by authorized inspection agencies. Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator. Participate in pharmacy committees when requested. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Comply with and adhere to the standards of this role as required by ACHC, Board of Pharmacy, Board of Nursing, Home Health Guidelines (Title 22), Medicare, Infusion Nurses Society, NHIA and other regulatory agencies, as applicable. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior experience in a consumer related business is preferred. Job Type: Full-time Benefits: 401(k) matching Dental insurance Employee assistance program Health insurance Paid time off Vision insurance Work Location: In person

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: Description of Responsibilities The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Insurance Manager Responsibilities include the following: Responsible for insurance verification and/or authorization on patients. Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable). Re-verification of verification and/or authorization and demographics on all patients. Participate in surveys conducted by authorized inspection agencies. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior dental or home infusion experience a plus Prior experience in a consumer related business is preferred Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.