Prior Authorization Specialist job in Englewood Cliffs at Case Management Solutions

We are a rapidly growing case management company servicing skilled nursing homes, and we would love for you to join our team!

Full Time 9:00 am to 5:00 pm Monday Friday, Location is in Englewood Cliffs New Jersey.

Essential Duties and Responsibilities:

• Navigate through our Preparatory Software and other medical Software's
• Thoroughly review all daily censuses for all designated facilities 100%

• Notify Insurance of Admissions and Discharges

• Send Clinical Updates to the insurance regularly

• Respond to high volume of incoming and outgoing calls, emails, and voicemails from the facilities or insurances

• Attend Virtual UR Meetings

• Request highest reimbursement rate appropriately and in a timely manner
  

• Monitor and communicate denials in a timely manner
  

• Document all communications throughout the day

Requirements:

• Insurance Authorization 1 year
• High school or equivalent
• Strong written and verbal communication skills
• Friendly and good customer service skills
• Knowledge in insurance verification and eligibility
• Basic Medical Terminology
• Organized and strong attention to details
• Punctual

Compensation and Benefits:

Case Management Solutions offers a competitive salary and excellent benefits, including a substantial medical/dental/vision insurance subsidy, generous holiday/vacation policy/401K

Finalist candidate(s) for this position will be subject to a pre-employment background check as a condition of employment.