Process Coordinator

Hackensack Meridian Health • Edison, NJ

1d • $29

About The Position

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 Process Coordinator provides direct administrative assistance to the Coordinated Care staff as it relates to the admission, discharge and denial process. Coordinates department workflow with use of computerized system. Acts as a liaison for patient and/or family, performing financial/social screens for discharge planning purposes. Coordinates and maintains data collection for performance improvement initiatives. Provides direct administrative assistance with the handling of incoming and outgoing correspondence.

Requirements

• Associate Degree in Psych/Social preferred. High School diploma, general equivalency diploma (GED), and/or GED equivalent programs with equivalent job related experience considered.
• Acute care hospital experience, medical terminology, registration/insurance knowledge and computer skills are a plus.
• Computer skills including but not limited to Word, Excel and Power Point.

Responsibilities

• Reviews all admitted patients by unit assignment via computerized system and communicates essential information to appropriate staff. Reviews daily discharge log and verifies discharge dates. Inputs discharge disposition into computerized system.
• Collaborates with physician advisor, appropriate case manager, and denials team to communicates denial information . Prepares all correspondence for denials for HQSI including but not limited to, termination of benefits and lower levels of care.
• Reviews and distributes RAC requests to physician advisors. Prepares all correspondence for DCS, Highmark, Maximus, and AJL. Maintains level of appeal log to ensure timely correspondence. Utilizes NJHA computerized appeals systems.
• Assigns all level of care determinations in computerized system as assigned by physician, staff, and/or insurance companies. Performs social/financial screen for patient/family as referred by staff. Reviews, monitors and maintains daily insurance logs. Prepares denial correspondence as needed.
• Maintains and updates HQSI agreement and disagreement statistics. Prepares reports for physician advisors as needed.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Benefits

• HMH is committed to pay equity and transparency for our team members.
• The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
• The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer.
• Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate.
• The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
• Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate.
• Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
• In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree