Insurance Verification & Authorization Specialist

Socket.dev; Morristown (NJ); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Benefits package

Paid time off

Job summary

Atlantic Health is seeking an Insurance Verification and Authorization Coordinator at Morristown Medical Center to support patient care by verifying coverage, securing precertifications, and coordinating with clinical teams. You will touch multiple departments, maintain documentation in EPIC, and ensure timely communication with payers to facilitate ongoing home care and hospice authorizations.

This on-site role offers a comprehensive benefits package and opportunities to contribute to a leading

Responsibilities

• 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.
• 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.
• Obtains timely initial precertification and authorization for initial services when required.
• 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.
• Reviews additional service request for completeness of information, accuracy and presence of required clinical data.

Job description

Atlantic Health is seeking an Insurance Verification and Authorization Coordinator at Morristown Medical Center to support patient care by verifying coverage, securing precertifications, and coordinating with clinical teams. You will touch multiple departments, maintain documentation in EPIC, and ensure timely communication with payers to facilitate ongoing home care and hospice authorizations.

This on-site role offers a comprehensive benefits package and opportunities to contribute to a leading