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  • Parsippany, NJ 07054

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Clinical Authorizations Coordinator, Managed Care

BAYADA Home Health Care • Parsippany, NJ

Posted 3 days ago

Job Snapshot

Full-Time
Experience - 4 to 5 years
Healthcare - Health Services
Health Care, Management
0

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Job Description

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 Not ready to apply? Connect with us for general consideration.
Job ID: 2107_20794
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