Authorization/Verification Rep, Sleep Laboratory

RWJ Barnabas Health Medical Inc

Cranford, NJ

JOB DETAILS
SALARY
SKILLS
Accounting, Anesthesiology, Behavioral Health, Billing, Calendar Management, Case Management, Certified Nursing Assistant (CNA), Community Health, Contact Management, Critical Care, Customer Experience, Dialysis, Dietetics, Documentation, Dosimetry, Electrocardiogram, Electroencephalography (EEG), Electronic Medical Records, Emergency Care, Environmental Work, Epic Systems, Facilities Engineering, Finance, Fundraising, Government, Health Informatics, Health Insurance, Healthcare, High School Diploma, Hospital, Housekeeping/Cleaning, Human Resources, Identify Issues, Information Technology & Information Systems, Insurance, Insurance Documentation, Intensive Care, Internet Portal, Leadership, Legal, Licensed Practical Nurse/Licensed Vocational Nurse, Marketing, Medical Assistance, Medical Billing, Medical Office, Medical Writing, Medicine, Nurse Practitioner, Nursing, Nursing Management, Occupational Therapy, Oncology, Operating Room Nursing, Outpatient Care, Patient Care, Patient Education, Patient Safety, Pediatric Nursing, Perinatal Nursing, Pharmacy, Physical Therapy, Physician Assistant, Physics, Polysomnography, Primary Care, Product Planning, Psychiatry and Mental Health, Public/Media/Press/Analyst Relations, Purchasing/Procurement, Radiology, Risk, Sleep Laboratory, Social Work, Speech and Language Pathology, Supply Chain, Surgical Nursing, Telemetry Nursing
LOCATION
Cranford, NJ
POSTED
30+ days ago

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Job Details

Authorization/Verification Rep, Sleep Laboratory

Req #: 0000244426

Category: Clerical / Administrative

Status: Per Diem

Shift: Day

Facility: Trinitas Regional Medical Center

Department: Sleep Lab

Pay Range: $25.50 per hour

Location:

2 Jackson Drive, Cranford, NJ 07016

Job Title: Authorization/Verification Rep

Location: SLEEP STUDY - CRANFORD NJ

Department Name: Sleep Lab

Req #: 0000244426

Status: Hourly

Shift: Day

Pay Range: $25.50 - $25.50 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:

Clarifies and verifies details of insurance coverage with private or government carriers and offers information to patients before medical services are provided. Tracks physician referrals and provides necessary details to billing staff. Provides clerical support for department needs (scheduling, scanning documents, phone calls).

Qualifications:

Required:

  • 2 years insurance verification, medical billing or registration experience in a hospital or physician office
  • High School Diploma required

Preferred:

  • Working knowledge of medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals preferred.
  • Proficiency in working with payor on-line portals, as well as NaviNet, Passport or other third- party eligibility systems preferred
  • Proficiency in EPIC EMR systems preferred

Scheduling Requirements

  • Per Diem, as needed, schedule varies

Essential Functions:

  • Coordinate completion of prior authorization, if needed;
  • Obtaining detailed benefits for ordered test;
  • Verifying patient's insurance eligibility;
  • Submit requested medical documentation to insurance companies;
  • Troubleshoot authorization related issues in the Practice Management System
  • Work with insurance plans to pre-authorize and re-authorization of patient services
  • Handles the verification of insurance benefits for customers
  • Notifies customers of deductibles and co-insurance due
  • Contacts primary care physicians in regards to referrals
  • Contacts customer when needing to obtain information
  • Regularly calls insurance companies to follow up
  • Explores other payment options with customer when needed
  • Maintain contact management regarding status of authorization and any additional documentation or information needed
  • Verification of eligibility and benefits;
  • Other duties as assigned (e.g., scheduling, appointment verification, other clerical work)
  • Enter current authorizations into the Practice Management System
  • Respond to internal/external inquiries relating to authorizations
  • Follow up on insurance authorizations

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.

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.

RWJBarnabas Health is an Equal Opportunity Employer

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About the Company

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RWJ Barnabas Health Medical Inc