Remote Reimbursement Specialist — Insurance Verification

VNA Health Group; New Jersey; Hybrid; USD 33,000 - 50,000; Full time

Job summary

VNA Health Group is hiring a Clinical Reimbursement Specialist. This remote role verifies insurance coverage, secures authorizations as needed, and reports reimbursement information to ensure timely payments.

You will work in a mission-driven nonprofit focused on home health and community care, with a supportive team and opportunities for professional growth. This position emphasizes accuracy, collaboration, and patient-centered access to care.

Qualifications

• High School Diploma/GED required; Associates degree preferred.
• Must have prior experience working with managed care and workman’s compensation carriers.
• Knowledge of third party reimbursement required.
• Excellent written and verbal communication skills.

Responsibilities

• Supports organization’s mission by striving for excellence in all aspects of the job with a focus on positive interpersonal relationship with co-workers
• Assures accurate and timely verification of reimbursement information to ensure coverage of insurance
• Assure authorization (if required by payer) is obtained in a timely manner
• Perform payer coverage duties as assigned
• Assists in designing, implementing and maintain a manual of insurance resource information in collaboration with the Manager of Clinical Reimbursement
• Establishes and maintains positive working relationship and communication with external and internal groups
• Monitors quality and appropriateness of services and processes
• Other duties as assigned
• Adheres to the organization’s policy in regards to absenteeism and appearance

Skills

Strong computer skills

Excellent written and verbal沟通 skills

Excellent interpersonal and organizing

Education

High School Diploma/GED

Associates degree preferred

Job description

VNA Health Group is hiring a Clinical Reimbursement Specialist. This remote role verifies insurance coverage, secures authorizations as needed, and reports reimbursement information to ensure timely payments.

You will work in a mission-driven nonprofit focused on home health and community care, with a supportive team and opportunities for professional growth. This position emphasizes accuracy, collaboration, and patient-centered access to care.