Insurance Mgmt Specialist, Per-Diem, Days 8am-4pm, Saturdays and Sundays, Morristown
1 week ago
Job summary
Duties & Responsibilities: 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 ie open enrollment period Documents all verification information in EPIC to ensure CAC , clinical teams and other departments are aware of results Authorization Obtain timely initial precertification and authorization for initial services when required Understands and enters pending authorization as required Demonstrated knowledge of payors and required documentation for precertification and authorization Obtains timely authorization for ongoing authorizations home care hospice services from select payers online by telephone or fax per company requirements Documents all authorization information Epic ensures clinical communication as well as accurate system notification ongoing needed auth Department Workflow Ensures coverage department assigned hours operations Manages assigned patient insurance acct EPIC work queues ensuring accurate timely completion Supports data integrity running working reports identify correct areas inaccuracy Participates directed Supervisor Verification/Authorization EVV process Other Duties Performs duties assigned At Atlantic Health System our promise communities is Anyone who enters one facility will receive highest quality care delivered right time right place right cost This commitment also echoed respect development opportunities given more than team members Headquartered Morristown New Jersey we one leading non-profit health care systems nation Our facilities sites include Morristown Medical Center Summit NJ Newton Medical Center Pompton Plains NJ Hackettstown Medical Center Hackettstown NJ Goryeb Childrens Hospital Morristown NJ CentraState Healthcare System Freehold NJ Atlantic Home Care Hospice Atlantic Mobile Health Atlantic Rehabilitation We have over community-based healthcare providers affiliated through Atlantic Medical Group Also has largest ACO nation member AllSpire Health Partners Have received awards recognition provided patients team members communities Below few accolades Fortune magazine years Modern Healthcare Becker Healthcare Becker Hospital Review AARP WELCOA Great Place Work FORTUNE magazine New York Jets
Job description
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