Healthcare Insurance Specialist

3 weeks ago


Trenton, New Jersey, United States Penn Medicine Full time

Job Summary:

The Insurance Verification Analyst is responsible for obtaining insurance pre-certification and ensuring timely reimbursement. This role involves verifying eligibility, obtaining benefits, and ensuring referrals, pre-determination, and/or authorization requirements have been completed.

Key Responsibilities:

  • Perform follow-up on assigned third-party accounts for scheduled surgeries and diagnostic appointments.
  • Verify eligibility, obtain benefits, and ensure referrals, pre-determination, and/or authorization requirements have been completed.
  • Utilize web-based applications and/or internet resources to follow up on outstanding items.
  • Process correspondence from insurance companies, case management, and other departments within specified time limits.
  • Provide patients with an estimate of their out-of-pocket expenses and attempt to collect payment and/or offer payment plan arrangements prior to visit.
  • Follow established department protocols to communicate rescheduling/cancellation of scheduled surgeries, procedures, and appointments if authorization is not obtained prior to date of service.
  • Review Verification Work queues to ensure that authorization and/or referrals are obtained as per the established timelines of the department.

Requirements:

  • H.S. Diploma/GED (Required)
  • At least two (2) years' experience working with healthcare insurance
  • Bachelor of Arts or Science
  • Vocational/Technical School/Diploma Program preferred
  • Associate of Arts or Science
  • Associate's Degree preferred

About Penn Medicine:

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy.



  • Trenton, New Jersey, United States Rue Insurance Full time

    Job Summary: We are seeking a highly motivated and organized Insurance Producer to join our team at Rue Insurance. As an Insurance Producer, you will be responsible for generating new business opportunities and developing relationships with commercial clients.Key Responsibilities:Develop and implement sales strategies to target and acquire new commercial...


  • Trenton, New Jersey, United States NJM Insurance Full time

    Job SummaryAs an IT Workstation Support Specialist at NJM Insurance Group, you will be responsible for providing technical support and maintenance for our workstations. This includes troubleshooting and resolving hardware and software issues, as well as performing routine maintenance tasks to ensure optimal system performance.Key ResponsibilitiesRespond to...


  • Trenton, New Jersey, United States NJM Insurance Full time

    Job Title: Regional Claims Specialist - Workers CompensationNJM Insurance is seeking a skilled Regional Claims Specialist to join our Workers Compensation Claims Team. As a key member of our team, you will be responsible for managing claims from initial contact to resolution, ensuring timely and accurate processing of claims, and providing exceptional...


  • Trenton, New Jersey, United States NJM Insurance Full time

    Workstation Support SpecialistConsider joining NJM's team as a Workstation Support Specialist and be part of a robust program that includes:Meaningful work where you are a contributor and collaborator.Team Intern Project: Researching and presenting a business question to our top leaders.Leader Presentations: Insurance Industry, Key Departments and how they...


  • Trenton, New Jersey, United States NJM Insurance Group Full time

    Job Title: Claims Account SpecialistWe are seeking a highly skilled Claims Account Specialist to join our team at NJM Insurance Group. As a Claims Account Specialist, you will be responsible for managing workers' compensation claims from initial intake to resolution.Key Responsibilities:Investigate and analyze claims to determine compensability and recommend...


  • Trenton, New Jersey, United States NJM Insurance Group Full time

    Job SummaryNJM Insurance Group is seeking a highly skilled IT Workstation Support Specialist to join our team. As a Workstation Support Specialist, you will be responsible for providing technical support and assistance to our employees with their workstations, ensuring that they have the necessary tools and resources to perform their jobs efficiently.Key...


  • Trenton, New Jersey, United States NJM Insurance Group Full time

    Job SummaryNJM Insurance Group is seeking a highly skilled IT Workstation Support Specialist to join our team. As a key member of our IT department, you will be responsible for providing technical support for our workstations, ensuring that our employees have the tools they need to perform their jobs efficiently.Key ResponsibilitiesRespond to technical...


  • Trenton, New Jersey, United States Genesis - Mid-America & SE Region - Chambersburg (1070) Full time

    Our Company PromiseWe are committed to providing our Employees a stable work environment with equal opportunity for learning and personal growth. Genesis - Mid-America & SE Region - Chambersburg (1070)\'s Mission is to provide efficient, fast, high quality healthcare staffing to our clients.Our Culture\'s key elements are crucial to the effectiveness of our...


  • Trenton, New Jersey, United States NJM Insurance Full time

    Job SummaryWe are seeking a highly skilled Talent Acquisition Specialist to join our team at NJM Insurance Group. As a key member of our Talent Acquisition team, you will be responsible for developing and implementing recruitment strategies to attract top talent from universities and colleges. Your primary focus will be on building and maintaining...

  • Sales Representative

    3 weeks ago


    Trenton, New Jersey, United States Bronson Kinkade Consulting Full time

    Job DescriptionUnlock Your Earning Potential with Our Insurance Sales RoleAt Bronson Kinkade Consulting, we're on a mission to revolutionize the insurance industry with our innovative products and exceptional customer service. As a Sales Representative - Insurance Coverage Specialist, you'll play a vital role in helping us achieve this goal.About the Role:As...


  • Trenton, New Jersey, United States GHR Healthcare Full time

    GHR Healthcare is seeking a travel nurse for an Emergency Department job in a major New Jersey hospital.Specialty:Emergency DepartmentDiscipline:RNShift:12 hours, nightsEmployment Type:TravelGHR Healthcare is a reputable staffing agency with over 30 years of experience in connecting healthcare professionals with facilities nationwide. We pride ourselves on...


  • Trenton, New Jersey, United States GHR Healthcare Full time

    Job Title: Travel Nurse ICU SpecialistGHR Healthcare is seeking a skilled travel nurse ICU specialist to join their team.Job Requirements:Specialty: ICU - Intensive Care UnitDiscipline: RNDuration: 8 weeksShift: 12 hours, nightsEmployment Type: TravelGHR Healthcare offers a range of benefits to their travel nurses, including flexible scheduling options,...


  • Trenton, New Jersey, United States GHR Healthcare - Travel Division Full time

    Job Title: Travel Nurse ICU SpecialistGHR Healthcare - Travel Division is seeking a highly skilled travel nurse ICU specialist to join their team in Trenton, New Jersey.Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RN - Registered NurseDuration: 13 weeksShift: 12 hours, nightsEmployment Type: TravelPerks: OT paid after 36...


  • Trenton, New Jersey, United States GHR Healthcare - Travel Division Full time

    Job Title: Travel Nurse RN Electrophysiology SpecialistGHR Healthcare - Travel Division is seeking a skilled travel nurse RN electrophysiology specialist for a travel nursing opportunity in New Jersey.Job Description & RequirementsSpecialty: Electrophysiology LabDiscipline: RNDuration: 13 weeks40 hours per weekShift: 12 hours, days, nightsEmployment Type:...


  • Trenton, New Jersey, United States Accela Healthcare Full time

    Company Overview:Accela Healthcare is a leading provider of long-term care services, dedicated to delivering exceptional care and support to our residents. We pride ourselves on our commitment to compassionate services and a supportive environment for our residents and staff.Position Overview:We are seeking a detail-oriented and experienced Executive...


  • Trenton, New Jersey, United States SpringBoard Healthcare Full time

    Diagnostic Imaging Specialist OpportunitySpringboard Healthcare is seeking a skilled Diagnostic Imaging Specialist to join their team in a travel capacity. The ideal candidate will have a strong background in diagnostic imaging and excellent communication skills.Key Responsibilities: Specialty: CT Technologist Discipline: Allied Health Professional Shift: 8...


  • Trenton, New Jersey, United States Access Healthcare Full time

    Job Title: Travel Nurse ICU SpecialistAccess Healthcare is seeking a skilled Travel Nurse ICU Specialist to join our team in Trenton, New Jersey.Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 7 weeksShift: 12 hours, nightsEmployment Type: TravelOur Travel Nurse ICU Specialist will provide high-quality patient care...


  • Trenton, New Jersey, United States GHR Healthcare Full time

    Job Title: Travel Nurse ICU SpecialistJob Description:GHR Healthcare is seeking a travel nurse ICU specialist to join their team. As a travel nurse, you will have the opportunity to work in various healthcare settings and gain valuable experience in intensive care units.Responsibilities:Provide high-quality patient care in intensive care unitsCollaborate...


  • Trenton, New Jersey, United States GHR Healthcare Full time

    GHR Healthcare is seeking a travel nurse ICU specialist for a travel nursing job in a reputable medical facility.Job DetailsSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 8 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelGHR Healthcare is committed to providing a supportive environment for healthcare professionals to advance...


  • Trenton, New Jersey, United States GHR Healthcare Full time

    Job Title: Emergency Department Nurse SpecialistJob Summary:GHR Healthcare is seeking a skilled Emergency Department Nurse Specialist to join our team. As a contract RN, you will provide high-quality patient care in a fast-paced emergency department setting. Responsibilities:Provide direct patient care in the emergency departmentCollaborate with the...