Insurance Mgmt Specialist, Per-Diem, Days 8am-4pm, Saturdays and Sundays, Morristown

Atlantic Health System•Morristown, NJ

1d•Onsite

About The Position

At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: Morristown Medical Center, Morristown, NJ Overlook Medical Center, Summit, NJ Newton Medical Center, Newton, NJ Chilton Medical Center, Pompton Plains, NJ Hackettstown Medical Center, Hackettstown, NJ Goryeb Children's Hospital, Morristown, NJ CentraState Healthcare System, Freehold, NJ Atlantic Home Care and Hospice Atlantic Mobile Health Atlantic Rehabilitation We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners. We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades: 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years Best Places to Work in Healthcare - Modern Healthcare 150 Top Places to work in Healthcare - Becker's Healthcare 100 Accountable Care Organizations to Know - Becker's Hospital Review Best Employers for Workers over 50 - AARP Gold-Level "Well Workplace": Wellness Council of America (WELCOA) One of the 100 Best Workplaces for “Millennials” Great Place to Work® and FORTUNE® magazine One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine Official Health Care Partner of the New York Jets NJ Sustainable Business Atlantic Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted: Team Member Benefits Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members) Life & AD&D Insurance. Short-Term and Long-Term Disability (with options to supplement) 403(b) Retirement Plan: Employer match, additional non-elective contribution PTO & Paid Sick Leave Tuition Assistance, Advancement & Academic Advising Parental, Adoption, Surrogacy Leave Backup and On-Site Childcare Well-Being Rewards Employee Assistance Program (EAP) Fertility Benefits, Healthy Pregnancy Program Flexible Spending & Commuter Accounts Pet, Home & Auto, Identity Theft and Legal Insurance ____________________________________________ Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

Responsibilities

Function as a liaison between external Insurance Companies and internal staff to ensure patient needs are met.
Notify internal staff when patient updates are required.
Communicates with CAC & Clinical Teams to ensure required financial information is available to review with patient.
Communicate with Clinical Teams to request necessary information for ongoing authorizations in a timely manner.
Verifies patient insurance for all incoming referrals for all payers.
Verifies patient insurance during course of episode if payer change occurs or a need for re-verification arises.
Participates in the re-verification at designated times of year, i.e. open enrollment period.
Documents all verification information in EPIC to ensure CAC, clinical teams and other departments are aware of results.
Obtain timely initial precertification and authorization for initial services when required.
Understands and enters pending authorization as required.
Demonstrated knowledge of payors and required documentation for precertification and authorization.
Obtains timely authorization for ongoing authorizations for home care and hospice services from select payers online, by telephone or fax per company requirements.
Documents all authorization information in Epic to ensure clinical communication, as well as accurate system notification of ongoing needed authorization.
Reviews additional service request for completeness of information, accuracy and presence of required clinical data.
Request and /or submit clinical documentation for authorization/reauthorization in Epic, prepares updates as indicated.
Ensures coverage of department for assigned hours of operations.
Manages assigned patient, insurance and/or acct EPIC work queues, ensuring accurate and timely completion.
Supports data integrity by running or working reports to identify and correct areas of inaccuracy.
Participates as needed in the follow-up and correction of insurance and/or authorization information, including the process required for payer changes, or obtaining retro authorization.
Participates as directed by Supervisor of Verification/Authorization in the EVV process.
Performs other duties as assigned.

Benefits

Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
Life & AD&D Insurance.
Short-Term and Long-Term Disability (with options to supplement)
403(b) Retirement Plan: Employer match, additional non-elective contribution
PTO & Paid Sick Leave
Tuition Assistance, Advancement & Academic Advising
Parental, Adoption, Surrogacy Leave
Backup and On-Site Childcare
Well-Being Rewards
Employee Assistance Program (EAP)
Fertility Benefits, Healthy Pregnancy Program
Flexible Spending & Commuter Accounts
Pet, Home & Auto, Identity Theft and Legal Insurance