Insurance Verification Coordinator

Insurance Verification Coordinator Location: 603 Montrose Ave, South Plainfield, NJ 07080 Pay Range: $21.69 - $30.64 per hour (Hourly – Full‑Time, Day shift) Job Overview Provide insurance benefit verification for all infusion patients prior to the start of service. Maintain proper insurance authorizations for Managed Care, Medicaid, and Medicare patients. Assume responsibility for data entry of patient demographics, billing and payment information, physician and authorization details. Verify insurance benefits, communicate with patients and families regarding financial responsibilities, and coordinate with the Billing Department for Self‑Pay patients. Required Qualifications HS diploma or GED equivalent required. Must meet requirements of the ADA. Previous knowledge of Insurance Benefit Verification, Prior Authorizations, and Reimbursement required. Successful completion of all Orientation Programs required. Preferred Qualifications Bachelor’s Degree. Preferred billing certifications. 2+ years of Medical Collections follow‑ups preferred. Preferred coding knowledge. Preferred coding knowledge. Preferred coding knowledge. Scheduling Requirements Full‑Time, Day, Hourly – 37.5 hours per week. 9‑5 PM, 30 minute lunch, two 15 minute breaks. On‑site 5 days a week, South Plainfield, NJ. Essential Functions Complete and track all Medicare CMNs. Contact patients prior to the start of care informing them of insurance benefits and financial responsibilities including any possible co‑pays/co‑insurance payments. Verify insurance for all assigned/established patients and new referrals as soon as received. Enter patient demographic information into the CPR system accurately, cross‑checked with documentation received from referral sources. Update any insurance change information in CPR, including progress and verification notation. Obtain prior authorizations and enter a progress note in CPR including authorization number, length of authorized services, codes, dates, etc. Generate all completed insurance forms prior to delivery including Benefits Form, Consent to Appeal, Payment Agreement (if applicable) and ABN forms. Request invoices from Billing Dept. for Self‑Pay patients, obtain credit card information, and ensure funds are available for Self‑Pay patients. Other Duties Noting and updating any insurance change information in CPR including progress and verification notation. Benefits and Perks 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! Equal Opportunity Employer #J-18808-Ljbffr