Insurance Mgmt Specialist I- Full Time, Days, Morristown NJ

Job Title

Job Description

Duties & Responsibilities:

Communication

• 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.

Insurance Verification

• 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.

Authorization

• 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.

Department Workflow

• 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.

Other Duties

• Performs other duties as assigned.

Qualifications

Required:

HS Diploma or equivalent

Preferred:

2-3 years relevant experience

About Us

At Atlantic Health, 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 22,000 team members. Headquarters 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:

• Atlantic Health Morristown Medical Center, Morristown, NJ
• Atlantic Health Overlook Medical Center, Summit, NJ
• Atlantic Health Newton Medical Center, Newton, NJ
• Atlantic Health Chilton Medical Center, Pompton Plains, NJ
• Atlantic Health Hackettstown Medical Center, Hackettstown, NJ
• Atlantic Health Goryeb Children's Hospital, Morristown, NJ
• Atlantic Health CentraState Healthcare System, Freehold, NJ
• Atlantic Medical Group
• Atlantic Visiting Nurse
• Atlantic Mobile Health
• Atlantic Rehabilitation

We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

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:

• Chosen for 17 years by Fortune as one of the magazine's "100 Best Companies to Work For."
• Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the "World's Best Hospitals" in 2026.
• Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report's 2025-2026 Best Hospital rankings.
• Atlantic Health scored four "A" grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.
• Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.
• Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026.
• Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026.
• Named by Newsweek as one of America's Greatest Workplaces for Inclusion & Diversity 2025.
• Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.

Our Home care and Hospice teams work with more than our patients, we work with their families, inside their homes and in their community. When you join our team, you also join theirs, bringing them your comfort, compassion, education, and expertise. We celebrate these close connections every day, by delivering the best comprehensive home care and hospice services possible. Atlantic Health 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. EEO STATEMENT Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.

About the Team

Home Care With more than 100 years of experience, Atlantic Visiting Nurse provides high-quality nursing and rehabilitation services in the comfort of your own home. If you and your physician feel that you would benefit from home care – whether to prevent or postpone a hospitalization, or to help with recovery after a hospital stay – our team of nurses and rehabilitation experts can develop an individualized plan of care to meet your needs. We're accredited by the Joint Commission and licensed by the New Jersey Department of Health. Atlantic Visiting Nurse - Home Health services are available to residents of Morris, Union, Essex, Sussex, Somerset and Warren counties in New Jersey. Hospice At Atlantic Visiting Nurse, we believe that