Insurance Verification & Authorization Specialist

RWJBarnabas Health; SOUTH PLAINFIELD (NJ); On-site; USD 30,000 - 42,000; Full time

Benefits offered by this job

Paid Time Off

Medical Insurance

Dental Insurance

Vision Insurance

Retirement Plans

Disability Insurance

Life Insurance

Tuition Reimbursement

Flexible Spending Accounts

Wellness Programs

Discounts & Perks

Job summary

RWJBarnabas Health in South Plainfield, NJ is hiring an Insurance Verification Coordinator to verify benefits for infusion patients before service starts. You will manage insurance authorizations and enter patient demographics, billing, and authorization information in CPR.

The role is full-time, day shift, on site, with pay range $21.69–$30.64 per hour. Candidates should have a HS diploma or GED, Pharmacy Tech registration within 180 days, and experience with benefit verification and

Qualifications

• HS diploma or GED required.
• Pharmacy Tech registration within 180 days of hire.
• Must meet requirements of the ADA.
• Previous knowledge of Insurance Benefit Verification, Prior Authorizations and Reimbursement knowledge required.
• Successful completion of all Orientation Programs.

Responsibilities

• Complete and track Medicare CMN's.
• Inform patients or assigned family member of insurance benefits and financial responsibilities before care.
• Verify insurance for all patients and new referrals upon receipt.
• Enter patient demographics into the CPR system accurately, cross-checked with documentation.
• Note and update any Insurance Change information in CPR with progress and verification.
• Obtain prior authorizations and document in CPR with authorization numbers and details.
• Ensure all completed insurance forms prior to delivery (Benefits Form, Consent to Appeal, Payment Agreement, ABN).
• Request invoices from Billing Dept. for Self-Pay patients and process credit card payments.

Skills

Insurance Benefit Verification

Prior Authorizations

Reimbursement knowledge

ADA compliance

Data entry accuracy

Communication with patients

Education

HS diploma or GED

Bachelor's Degree (preferred)

Tools

CPR system

Job description

RWJBarnabas Health in South Plainfield, NJ is hiring an Insurance Verification Coordinator to verify benefits for infusion patients before service starts. You will manage insurance authorizations and enter patient demographics, billing, and authorization information in CPR.

The role is full-time, day shift, on site, with pay range $21.69–$30.64 per hour. Candidates should have a HS diploma or GED, Pharmacy Tech registration within 180 days, and experience with benefit verification and