Description

• Contact insurance providers to verify benefits and coverage.
• Utilize the Bright Tree System to navigate NJ HMO websites, commercial insurance portals, and Medicare systems.
• Receive orders from hospitals or doctor’s offices.
• Assign appropriate codes in the internal system.
• Communicate with patients to confirm pricing and orders.
• Process orders and approvals through insurance portals.
• Answer phone calls and patient inquiries.
• Handle a high call volume (100+ calls/day), including transfers and quick questions.

Requirements

• Strong multitasking abilities.
• Prior authorization experience.
• Data entry skills.
• Medical knowledge.
• Experience with Medicare, Medicaid, and private insurance verification.
• Prior experience in insurance verification is a must.
• Customer service skills.
• Bachelor's degree is preferred; open to an associate's degree.
• Bilingual in Spanish/English is preferred.
• Insurance knowledge.

Benefits

• Medical, dental & vision
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Critical Illness, Accident, and Hospital
• Short and long-term disability
• Transportation benefits
• Health Spending Account (HSA)
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)

Training + Development

Interview process

Visa Sponsorship

Security clearance