Authorizations Associate / Coordinator, Managed Care Office (Elizabeth)

Employment Type

: Full-Time

Industry

: Miscellaneous



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BAYADA Home Health Care is hiring an Associate for our Managed Care Office located in Parsippany, New Jersey.

As an Associate, you will process homecare authorizations for commercial insurance and Medicaid private duty nursing cases, and perform case management. The Managed Care Team is responsible for the following:

  • Obtaining and tracking insurance authorizations for home care services
  • Assisting in the clinical coordination of new referrals
  • Facilitating communication with discharge planners, case managers, physician's offices and clients
  • Immediately triaging referrals to BAYADA offices based on geography
  • Establishing and maintaining trusting relationships with payors
  • Ordering covered supplies and DME products

Find out why BAYADA Home Health Care has received the Glass Door 2018 & 2019 Best Places to work!", "National Provider's Best of Home Care Award for 2017 and "Forbes Top 50 companies Hiring for Flexible Jobs"!

Responsibilities:

  • Process authorizations
  • Manage commercial insurance & Medicaid private duty nursing cases by providing necessary clinical information to insurance company Case Managers
  • Triage new referrals to appropriate service offices nation-wide
  • Build relationships with referrers and payors
  • Provide excellent customer service to internal and external customers

Hours: Monday through Friday, 8:30am to 5:00pm (some flexibility needed)

Qualifications

  • Bachelor's Degree required
  • 1-2 years experience, preferably in healthcare setting; related internships count toward experience
  • Excellent communication and interpersonal skills
  • Professional demeanor
  • Strong computer and software skills
  • Flexible and adaptable to changing business needs

Benefits include the following: Medical, dental, vision, tuition reimbursement, 401K w/company match, formal mentoring program, life insurance, paid time off, long term career growth. EOE.


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