Insurance Verification & Authorization Specialist I

Atlantic Health; Morristown (NJ); On-site; USD 42,000 - 62,000; Full time

Job summary

Atlantic Health Visiting Nurse is seeking an Insurance Management Specialist I for full-time daytime hours in Morristown, NJ. The role focuses on coordinating insurance verification, obtaining authorizations, and ensuring accurate financial information is available for patient care decisions.

The ideal candidate will have a high school diploma or GED with preferred college level education, experience in authorizations, and familiarity with insurance verification. EPIC experience is a plus.

Qualifications

• High School Diploma or GED required.
• A college degree is preferred.
• Experience/knowledge in obtaining authorizations and familiarity with insurance verification is highly desirable.

Responsibilities

• Act as liaison between external Insurance Companies and internal staff to ensure patient needs are met.
• Notify internal staff when patient updates are required.
• Communicate with CAC & Clinical Teams to ensure required financial information is available to review with patient.
• Coordinate with Clinical Teams to request necessary information for ongoing authorizations in a timely manner.
• Verify patient insurance for all referrals and payers.
• Document all verification information in EPIC for visibility across teams.
• Obtain timely initial precertification and authorization for services when required.
• Submit and track ongoing authorizations for home care and hospice services per requirements.
• Review service requests for completeness and accuracy; request/submit needed clinical documents.

Skills

Communication

Insurance verification

Authorization

Education

High School Diploma or GED

College degree preferred

Tools

EPIC

Job description

Atlantic Health Visiting Nurse is seeking an Insurance Management Specialist I for full-time daytime hours in Morristown, NJ. The role focuses on coordinating insurance verification, obtaining authorizations, and ensuring accurate financial information is available for patient care decisions.

The ideal candidate will have a high school diploma or GED with preferred college level education, experience in authorizations, and familiarity with insurance verification. EPIC experience is a plus.