• Clinical Authorizations Coordinator, Managed Care

    Location US-NJ-Parsippany
    Posted Date 6 days ago(5/16/2018 8:41 AM)
    Position ID
    2017-20794
    Category
    Other
    Zip
    07054
  • Overview

    Full Time, Monday-Friday, Office Based opportunity!

     

    Leverage both your clinical knowledge and your insurance/authorization experience to help ensure BAYADA clients continue to receive the care they need, in the comfort of their own homes.  We are seeking a nurse (LPN) or certified medical assistant to join our Home Health Managed Care Team located in our Parsippany, NJ support office.  In this role, you will act as a liaison between our internal service offices and external payers, working to obtain authorizations for care. 

     

    The ideal candidate will have EMR experience, and a strong comfort level working on the computer for most of the day.  You will input and track authorizations electronically, and interact with insurance companies to advocate for our clients. 

     

    HoursMonday - Friday 8:30am to 5:00pm.

     

    Responsibilities

     

      • Receive and document incoming phone calls from referral sources
      • Document all referrals in EMR (Home Care Home Base)
      • Communicate daily with internal Client Service Managers, Clinical Managers and Directors
      • Enter pending authorizations into EMR
      • Prepare reports and updates on patient conditions with appropriate recommendations to ensure authorizations
      • Establish an organizational plan to manage caseload
      • Function as a liaison between external Case Managers and internal BAYADA staff
      • Notify internal service offices when patient updates are required
      • Assist in obtaining physicians orders
      • Request and/or submit clinical documentation for auths/reauths in EMR
     

    In addition to utilizing your clinical judgement, the ideal candidate must possess the ability to cultivate positive long-term relationships with referral sources. 

     

    You will work a stable schedule,  Monday through Friday, and be part of a  friendly and supportive work environment.  Computer proficiency is a must.

     

     

    Qualifications

     

    * Current LPN license in good standing OR Medical Assistant Certification and 4-5+ years of experience in lieu of nursing license

    * Prior insurance and authorization experience

    * Working knowledge of coding a plus

    * Demonstrated track record of working independently while taking on increased or diverse responsibilities

    * Solid PC skills required; previous experience using an EMR system

    * Strong interpersonal and telephonic customer services skills

    * Flexibility is essential for success

     

    This is a full time, office based position.  Comprehensive benefits package includes:  medical, dental, vision, paid time off, tuition reimbursement, 401K w/company match.  EOE.

     

    #CBPost

    Sponsor-RPY

     

    Posted Date

    5/16/2018

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