Administrative Coord

About Us:

AtCooper 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:

• Standard workflow of all Clinical Review Patient Work Queues
• Scheduling and management of physician peer to peer process
• Processing of daily insurance information logs
• Manage onbase for incoming fax communications
• Accessing and managing insurance portals: Navinet, Availity, PEAR, etc
• Trouble shoot delays in processing of insurance information for authorization, ensuring clinical reviews processed timely
• Follow up on determinations on all inpatient hospitalizations
• Management of late/untimely denials
• Collaboration with HCA team to ensure accurate insurance verification and timely notice of admissions
• Management of daily discharge communication to contracted insurers
• Delivery of Medicare Outpatient Observation Notice, NJ OBS Form, and Cooper Code 44 forms
• Management of Livanta Discharge Appeal process
• Accurate EPIC Case Management Module data input, staff Epic training, and identification of process improvements.
• Maintain and update department lists, grids, educational materials, and shared drive 
• Field incoming calls for the Care Management department and direct to appropriate staff member
•  Additional Administrative duties for the department as assigned: AMION, Kronos, Payer Comm Updates
• Ordering of departmental supplies, such as: Business cards/lab coats, Konica/Staples office supplies, etc
• Management of Letters of agreement, and departmental invoices as assigned

Experience Required:

• 2+ years office experience preferred
• Previous experience with EPIC, Outlook, and Excel preferred.
• Exceptional organizational and communication skills.
• Previous experience with insurance company authorizations and utilization review processes preferred.
• Ability to work independently.

Education Requirements:

• HS diploma or equivalent. Associates or Bachelor's Degree preferred.

Special Requirements:

• Experience with Kronos and/or completing staff schedules/assignments.
• Experience developing training tools.
• Experience with insurance portals: Navinet, Availity, Optum, PEAR