Job Title:

Insurance Management Specialist Location:

Morristown

NJ 07960

Contract:

06+ months (possibility to extend)

Shift:

8am-4pm

Pay:

$28-$30/hr on W2

Duties:

Communication Function as a liaison between external Insurance Companies and internal staff to ensure patient needs are met. Notify internal staff when patient updates are required. Communicates with CAC & Clinical Teams to ensure required financial information is available to review with patient. Communicate with Clinical Teams to request necessary information for ongoing authorizations in a timely manner. Insurance Verification Verifies patient insurance for all incoming referrals for all payers. Verifies patient insurance during course of episode if payer change occurs or a need for re-verification arises. Participates in the re-verification at designated times of year, i.e. open enrollment period. Documents all verification information in EPIC to ensure CAC, clinical teams and other departments are aware of results. Authorization Understands and enters pending authorization as required. Demonstrated knowledge of payors and required documentation for precertification and authorization. Obtains timely authorization for ongoing authorizations for home care and hospice services from select payers online, by telephone or fax per company requirements. Documents all authorization information in Epic to ensure clinical communication, as well as accurate system notification of ongoing needed authorization Request and /or submit clinical documentation for authorization/reauthorization in Epic, prepares updates as indicated. Department Workflow Ensures coverage of department for assigned hours of operations. Manages assigned patient, insurance and/or acct EPIC work queues, ensuring accurate and timely completion. Participates as directed by Supervisor of Verification/Authorization in the EVV process.

Skills:

Knowledge/ Experience with obtaining authorizations, familiar with insurance verifications preferred.

Education:

High school diploma or GED. #

SJ Pay:

$26.00 - $28.00 per hour

Work Location:

In person