Case Manager for Skilled Nursing Facility

· Englewood Cliffs, New Jersey
Employment Type Full-Time

We are looking for motivated people that are willing to learn and grow with our company.

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


Essential Responsibilities:


  • Understand the insurance process including prior authorizations, length of stay & discharge planning
  • Review daily censuses for admissions, payer changes & discharges
    • Review & submit clinical updates to the insurance daily via fax & portal
    • Handle a high volume of incoming & outgoing calls
    • Respond to multiple emails & voicemails daily
    • Participate in virtual Utilization Review Meetings
    • Request highest level of reimbursement 
      • Monitor & communicate insurance denials such as NOMNC & end of service to patients
      • Request prior authorizations from the insurance
      • Send appeal on denials
      • Document all communications thoroughly throughout the day
      • Navigate through preparatory software's & other web-based medical software's

       

      Requirements:


      • Strong written and verbal communication skills
      • Friendly & good customer service skills
      • Knowledge in insurance verification & eligibility a plus
      • Basic Medical Terminology a plus
      • Healthcare experience a plus
      • Organized & strong attention to details
      • Punctual & good time management

       

      Compensation and Benefits:


      Case Management Solutions offers a competitive salary & excellent benefits, including a substantial medical/dental/vision, 401k, monthly attendance bonus, generous holiday pay & PTO policy. Finalist candidate(s) for this position will be subject to a pre-employment background check as a condition of employment










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      • Location
        Englewood Cliffs, New Jersey
      • Employment Type
        Full-Time