Insurance Verification & Authorization Specialist

Atlantic Health System

Morristown (NJ)

On-site

USD 45,000 - 48,000

Part time

6 days ago
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Job summary

Atlantic Health System is seeking an Insurance Mgmt Specialist for Per-Diem shifts (Days 8am-4pm) with weekend coverage in Morristown, NJ. The role focuses on insurance verification, authorization, and department workflow to ensure timely patient services.

The ideal candidate will have a High School Diploma, healthcare terminology knowledge, and strong communication skills, with proficiency in EPIC and MS Office. Training in health care and secretarial tasks is preferred.

Qualifications

  • High School Diploma
  • Prefer Associates or Bachelors degree in related field
  • Training or experience in health care field, familiar with health care terminology.
  • Training or experience with basic secretarial functions/equipment (PC, fax, telephone)
  • Effective verbal and written communication skills.
  • Broad knowledge of computer software including word processing, spreadsheets and presentation applications; keyboarding skill level at 45wpm.
  • Preferred for positions in medical/clinical areas: basic medical and scientific terminology.

Responsibilities

  • Liaise between external Insurance Companies and internal staff to meet patient needs.
  • Notify internal staff when patient updates are required.
  • Communicate with CAC & Clinical Teams to review required financial information with patient.
  • Request and review necessary information for ongoing authorizations in a timely manner.
  • Verifies patient insurance for all referrals and payers.
  • Documents verification information in EPIC for transparency across teams.
  • Obtain timely precertification and authorization for initial services when required.
  • Document authorization information in Epic for ongoing care and payer reviews.
  • Review service requests for completeness and data accuracy.
  • Submit clinical documentation for authorization/reauthorization in Epic.
  • Manage department coverage during assigned hours and handle EPIC queues.
  • Run reports to identify and correct data inaccuracies.
  • Support payer changes and retro authorization processes as needed.
  • Participate in EVV process per supervisor guidance.
  • Performs other duties as assigned.

Skills

Communication skills
Health care terminology
Typing 45 wpm
MS Office skills

Education

High School Diploma
Associates or Bachelors preferred

Tools

Epic
PC
Fax
Telephone

Job description

Atlantic Health System is seeking an Insurance Mgmt Specialist for Per-Diem shifts (Days 8am-4pm) with weekend coverage in Morristown, NJ. The role focuses on insurance verification, authorization, and department workflow to ensure timely patient services.

The ideal candidate will have a High School Diploma, healthcare terminology knowledge, and strong communication skills, with proficiency in EPIC and MS Office. Training in health care and secretarial tasks is preferred.

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