Job Overview:

Responsible for verifying insurance and eligibility to obtain prior authorization for inpatient/outpatient medical procedures and diagnostic testing.

Qualifications:

Required:

• High School Diploma or GED required
• Relevant experience and/or training, or equivalent combination of education and experience
• Six (6) months to one (1) year of relevant experience and/or training

Preferred:

• Previous Surgical Coordinator experience
• Bilingual a plus

Scheduling Requirements:

• Working Shift: Monday-Friday, 8:30AM-4:30PM
• Day Shift
• Full-Time, 35 Hours Per Week

Essential Functions:

• Ensures that patient demographic, insurance information, verification and eligibility have been established and documented
• Obtain necessary documentation from patients’ medical team to assist in obtaining approval in timely fashion
• Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to date of service
• Document and communicate with clinical staff, physicians, administrators, and patients regarding insurance problems/discrepancies; contact patients to receive updated insurance information or correct issues
• Communicate with servicing facilities and co-surgeons to make sure authorizations were received
• File documentation of approval letters to be scanned into the EMR system, as necessary

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.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

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.

Equal Opportunity Employer