Insurance Specialist

Job Title: Specialist

Location: RWJUH Hamilton Hospital

Department Name: Cancer Center

Req #: 0000217256

Status: Hourly

Shift: Day

Pay Range: $20.00 - $26.00 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:

The Insurance Verification, Referral & Authorization Specialist is responsible for verifying health insurance benefits for all new patients or existing patients.

Qualifications:

Required:

• High school graduate or GED
• 1-year experience in a physician billing or third-party payer environment
• Demonstrate working knowledge of contracts, insurance benefits, exclusions, and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations,

Preferred:

• Patient financial and practice management system experience in Epic, OnBase, passport and or other electronic billing systems
• Knowledge of medical terminology is preferred,

Scheduling Requirements:

• Full Time Day

Essential Functions:

• Contact the patient's insurance company to verify coverage levels and works with patients to walk them through their benefits information
• Work to ensure that patients have been authorized for specialty services and office visits,
• Act as a liaison between the patient, provider/referring provider, primary care provider, and other parties involved in the plan of care
• Appropriately link referrals for identified visits
• Screen patients for eligibility for Medicaid, Alternative Paying Solutions, Charity Care self-pay estimates and collaboratively without financial pharmaceutical assistance program
• Perform administrative duties, including answering telephones, and greeting patients,

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 employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:

• Paid Time Off including Vacation, Holidays, and Sick Time
• Retirement Plans
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Disability and Life Insurance
• Paid Parental Leave
• Tuition Reimbursement
• Student Loan Planning Support
• Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Community and Volunteer Opportunities
• Discounts Through our Partners such as NJ Devils, NJ PAC, and 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.