Integrated Case Management Specialist

Hackensack Meridian Health Inc.; Hackensack (NJ); On-site; USD 40,000 - 60,000; Full time

Job summary

Hackensack Meridian Health Inc. is seeking an Integrated Case Management Specialist to provide services related to insurance management and support Care Coordinators. The role includes processing Appeals and Denial information and handling Medicaid appointments.

Candidates should have a High School diploma or GED, experience in the healthcare industry, and strong communication and computer skills. Preferred qualifications include a BSW/CSW and recent hospital experience.

Qualifications

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Experience in the healthcare industry.
• Ability to learn new computer systems.

Responsibilities

• Perform services related to insurance management with various payors.
• Prepare Appeals and Denial information for processing.
• Oversee sorting and distribution of mail in the department.

Skills

Effective written, oral, and interpersonal communications skills

Proficient computer, word-processing and Excel spreadsheet skills

Strong time management and priority-setting skills

Ability to work independently and as a team member

Education

High School diploma or GED

BSW/CSW preferred

Tools

EPIC

INDICIA

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Integrated Case Management Specialist performs selected services and functions related to insurance management with various payors, ortho calls, payer communications and support of the Care Coordinators. Prepares required Appeals and Denial information for processing and follows up on receipt of communication including Livanta appeal management process. Oversees the sorting and distribution of mail in the department. Answers case management and social work phones. Medicaid appointment, all discharge functions for the Care Coordinators, including seventy hour discharge report and providing patients with the IM Letter from Medicare prior to discharge.

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Experience in the healthcare industry.
• Effective written, oral, and interpersonal communications skills.
• Proficient computer, word-processing and Excel spreadsheet skills.
• Ability to learn new computer systems, i.e.: EPIC, INDICIA.
• Educated in the unique clinical and discharge needs of the patients.
• Strong time management and priority-setting skills.
• Ability to work independently and as a team member.
• Self-directed with the ability to take the initiative to solve problems.

Education, Knowledge, Skills and Abilities Preferred:

• 1 year recent experience in a hospital or medical setting preferred.
• BSW/CSW preferred.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!