Care Coordination Specialist: Transitions & Appeals

Hackensack Meridian Health; Morrell Corners (NJ); On-site; USD 26,000 - 37,000; Full time

Job summary

Hackensack Meridian Health is seeking a Care Coordination Specialist/Medical Office Specialist to support transitions of care, utilization management, and referrals. The role emphasizes payer communications, insurance authorizations, and accurate documentation in EPIC and related systems.

The position requires a high school diploma or GED, healthcare exposure, and strong communication and computer skills. A collaborative team environment with comprehensive benefits is offered at Hackensack

Qualifications

• High school diploma or GED required; healthcare experience preferred.
• Strong written and verbal communication skills; interpersonal abilities.
• Proficient computer skills including Word and Excel.
• Willingness to learn new systems such as EPIC and INDICIA.
• Ability to manage time effectively and prioritize tasks.

Responsibilities

• Handle payer communications and obtain insurance authorizations as needed.
• Process appeals and denial information; manage related communications.
• Coordinate scheduling, including Medicaid appointments and follow-ups.
• Manage referrals to external facilities and services; documentation in records.
• Utilize EPIC/INDICIA systems to support case management and reviews.
• Adhere to organizational competencies and complete daily duties.

Skills

Communication skills

Computer skills

EPIC/INDICIA familiarity

Time management

Teamwork

Initiative

Education

High School diploma or GED

Healthcare experience

Tools

EPIC

INDICIA

Job description

Hackensack Meridian Health is seeking a Care Coordination Specialist/Medical Office Specialist to support transitions of care, utilization management, and referrals. The role emphasizes payer communications, insurance authorizations, and accurate documentation in EPIC and related systems.

The position requires a high school diploma or GED, healthcare exposure, and strong communication and computer skills. A collaborative team environment with comprehensive benefits is offered at Hackensack