Insurance Verification Coordinator

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

Insurance Verification Coordinator

Req # 0000250488

Job Title: Insurance Verification Coordinator

Location: LSC-Montrose

Location: 603 MONTROSE AVE, SOUTH PLAINFIELD, NJ 07080

Department: Home Infusion

Category: Clerical / Administrative

Status: Full-Time

Shift: Day

Pay Range: $21.69 - $30.64 per hour

Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

Provide Insurance benefit verification for all infusion patients prior to the start of service. Verification Coordinator maintains proper insurance authorizations for all Managed Care Medicaid and Medicare patients. Verification Coordinator assumes responsibility of data entry functions of patient demographics, billing and payment information along with physician and authorization information.

Qualifications:

• HS diploma or GED equivalent 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.

Preferred:

• Bachelor's Degree
• Preferred billing certifications
• 2+ years of Medical Collections follow-ups is preferred.
• Preferred coding knowledge

Scheduling Requirements:

• Full-Time, Day, Hourly - 37.5 hours a week
• 9-5 PM, 30 minute lunch, two 15 minute breaks.
• On-site 5 days a week, South Plainfield, NJ.

Essential Functions:

• Complete and track all Medicare CMN's
• Contact patients PRIOR to the start of care informing them or assigned documented family member of his/her insurance benefits and Financial Responsibilities including any possible co-pays / co-insurance payments.
• Does Insurance verification for all assigned/established patients and new referrals as soon as received.
• Enter patient demographic information into the CPR system accurately having been crossed checked with documentation received from Referral Sources.
• Noting and updating any Insurance Change information in CPR including progress and verification notation
• Obtains prior authorizations and enters a progress note in CPR including authorization number, length of authorized services including codes, dates, etc.
• Responsible for all completed insurance forms prior to delivery including Benefits Form, Consent to Appeal, Payment Agreement (if applicable) and ABN forms.
• Responsible for requesting invoices from Billing Dept. for Self-Pay patients sent with delivery and obtaining credit card information along with having the card processed, making sure appropriate funds are available for Self- Payers.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks:

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PA, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer