Top 539 Insurance verification Jobs in New Jersey

Insurance Ver & Auth Coordinator
Center for Family Guidance PC —Marlton, NJ
- $26 - $28 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- High school
- Health insurance
- Dental insurance
Quick Apply
12d
Insurance Verification & Authorization Specialist
Rhythmedix —Mount Laurel, NJ
- $19 - $23 an hour
- Overtime
- Hybrid work
- HIPAA
- Mid-level
- Office
- Paid holidays
- Health insurance
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Supervisor, Insurance Verification & Authorization
Rhythmedix —Mount Laurel, NJ
- $50,000 - $60,000 a year
- Overtime
- Microsoft Excel
- 5 years
- HIPAA
- Paid holidays
- Health insurance
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Insurance Coordinator - Verification & Authorization
IVI RMA North America —Basking Ridge, NJ
- Full-time
- Computer literacy
- High school diploma or GED
- Entry level
- AD&D insurance
- Paid holidays
Quick Apply
Front Desk Associate
Monmouth Family Health Center —Long Branch, NJ
- $17 - $18 an hour
- Full-time
- Spanish
- Microsoft Excel
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
EVV
Always Home Care —West New York, NJ
- $20 an hour
- Full-time
- High school diploma or GED
- Home Health
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
13d
Patient Account Manager
Healing Hands of Manahawkin —Manahawkin, NJ
- $20 - $23 an hour
- Full-time
- Medical office experience
- Organizational skills
- In-person
- Health insurance
- On-the-job training
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NF/PIP and WC Collections Specialist
Ambulatory Surgical Center —Saddle Brook, NJ
- $24 - $28 an hour
- Full-time
- Mid-level
- Organizational skills
- In-person
- Health insurance
- Dental insurance
Quick Apply
Credentialing Coordinator
Alumni Healthcare Staffing —Bridgewater, NJ
- From $48,000 a year
- Full-time
- Hybrid work
- Background check
- Customer service
- Word processing
- Paid holidays
- Health insurance
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Client Services Coordinator
Walton Management Services, Inc/Quentelle, LLC —Middletown, NJ
- $45,000 - $55,000 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Customer service
- Paid training
- Paid holidays
Quick Apply
6d
Financial Services CoordinatorBusiness Specialist
ProCure Proton Therapy Center —Somerset, NJ
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
Quick Apply
EVV Clerk/Billing- Home Care
Excellent Home Health Care —Paterson, NJ
- $17.00 - $17.50 an hour
- Full-time
- Bilingual
- Spanish
- Customer service
- Health insurance
- Paid time off
Quick Apply
Bilingual Spanish/ Portuguese Dental Insurance/Billing Coordinator
Gentle Dental of NJ —Newark, NJ
- From $20 an hour
- Part-time
- Bilingual
- Spanish
- Dental office
- Dental insurance
Quick Apply
Surgery Scheduler
Pleasantdale Ambulatory Care —West Orange, NJ
- $24.23 - $29.18 an hour
- Full-time
- Spanish
- Microsoft Excel
- Surgery
Quick Apply
Reimbursement Specialist
Serva Health LLC —Mount Laurel, NJ
- 8 hour shift
- Microsoft Word
- Background check
- Microsoft Outlook
- Free parking
- Paid training
Quick Apply
Management Skills - Medical / Wellness Center - Part Time Admin Position
Advanced Spine and Wellness, LLP —Northvale, NJ
- From $20 an hour
- Part-time
- Management
- Medical office experience
- English
Quick Apply
Medical Administrative Assistant
METRO PAIN CENTERS —Clifton, NJ
- $18 - $20 an hour
- Full-time
- Spanish
- HIPAA
- English
- Health insurance
- 401(k)
Quick Apply
Benefit Coordinator
Seaview Orthopedics —Freehold, NJ
- $20 - $22 an hour
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- US work authorization
- Paid holidays
- Dental insurance
Quick Apply
2d
Credentialing Specialist
CH Revenue Management Solutions (CHRMS) —Tinton Falls, NJ
- $26.50 - $31.25 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Free parking
- Health insurance
Quick Apply
Dental Receptionist
Allendale Dental —Allendale, NJ
- $25 - $35 an hour
- Full-time
- Bilingual
- Dental office
- HIPAA
- Dental insurance
- 401(k)
Quick Apply

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Insurance Ver & Auth Coordinator

Center for Family Guidance PC -
Marlton, NJ

Quick Apply

Job Details

Full-time
$26 - $28 an hour
12 days ago

Benefits

Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Cell phone reimbursement
Vision insurance
Employee discount
Gym membership

Qualifications

Overseeing health insurance pre-certification
Medicare
Managed care
Managed care organization experience
High school diploma or GED
Medicaid health insurance
Healthcare referral management
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid
Health insurance referral requirements
Medical claim denial management

Full Job Description

Insurance Verification & Authorization Coordinator

Hybrid (One day in Marlton & one day in West Deptford)

Full Time, Monday through Friday

Salary range: $26.00-$28.00 per hour

Benefits:

401(k)
Medical, Dental, and Vision Insurance
Paid Time Off
Tuition reimbursement
Employee discounts on gym memberships, cell phone packages, hotels, rental cars, computers, amusement parks, theater tickets, and more!

MUST have experience in the following:

healthcare insurance verification
benefits investigation
patient access
prior authorization processes
medical billing
revenue cycle operations
denial prevention strategies
Medicare, Medicaid, and commercial insurance plans

Position Summary:

The Insurance Verification & Authorization Coordinator is responsible for ensuring patients are financially cleared for services prior to treatment through comprehensive insurance eligibility verification, benefits investigation, prior authorization management, and patient financial counseling. This role serves as a liaison between patients, providers, insurance carriers, and internal departments to facilitate timely access to care while maximizing reimbursement and minimizing claim denials.

The ideal candidate possesses a strong understanding of commercial, Medicare, Medicaid, and managed care insurance plans, prior authorization requirements, behavioral health benefits, and revenue cycle best practices.

Key Responsibilities:

Insurance Eligibility & Benefits Verification

Verify insurance eligibility, coverage, and benefits for all scheduled patients prior to services.
Investigate and document deductible, coinsurance, copayment, out-of-pocket maximum, authorization, referral, and network participation requirements.
Accurately enter and maintain patient demographic and insurance information within the electronic health record (EHR) and practice management system - NextGen.
Identify coverage issues and proactively contact patients, insurance carriers, or referral sources to obtain updated information.
Communicate patient financial responsibility estimates when applicable.
Ensure all required insurance and demographic information is obtained prior to the patient's first appointment.

Prior Authorizations & Referrals

Initiate, submit, track, and obtain prior authorizations and referrals for behavioral health and medical services.
Monitor authorization expiration dates, visit utilization, and extension requirements.
Coordinate with providers and clinical staff to obtain supporting documentation required by payers.
Maintain current knowledge of payer-specific authorization guidelines, medical necessity requirements, and clinical policies.
Escalate authorization concerns that may impact patient care or reimbursement.

Patient Financial Counseling

Educate patients regarding insurance coverage, benefits, authorization requirements, and financial responsibility.
Discuss copays, deductibles, coinsurance, and out-of-pocket obligations in a clear and professional manner.
Collect patient payments and process credit card transactions in accordance with company policies.
Assist patients with payment arrangements, financial assistance applications, and related documentation as appropriate.

Communication & Customer Service

Respond promptly to telephone, voicemail, email, fax, and electronic inquiries from patients, providers, insurance carriers, and internal departments.
Provide exceptional customer service while maintaining professionalism and confidentiality.
Serve as a resource to patients and staff regarding insurance-related questions and coverage concerns.
Collaborate with intake, clinical, billing, and revenue cycle teams to resolve eligibility and authorization issues.

Revenue Cycle Support

Identify and resolve front-end revenue cycle issues that could result in claim denials or delayed reimbursement.
Review payer requirements and communicate changes that impact patient access, reimbursement, or operational workflows.
Maintain accurate account notes and documentation of all payer and patient communications.
Assist with denial prevention efforts by ensuring eligibility and authorization requirements are met prior to service.
Monitor assigned work queues and productivity metrics to ensure timely completion of tasks.

Compliance & Quality

Maintain compliance with HIPAA, confidentiality standards, and organizational policies.
Adhere to established departmental workflows, quality standards, and performance expectations.
Participate in staff meetings, training sessions, and process improvement initiatives.
Identify workflow inefficiencies and recommend solutions to improve operational effectiveness and patient experience.

Preferred Experience & Qualifications:

Minimum of 3–5 years of experience in healthcare insurance verification, patient access, prior authorizations, medical billing, or revenue cycle operations required; behavioral health experience strongly preferred.
High school diploma or equivalent required.

Strong understanding of insurance eligibility verification, benefits investigation, referrals, and prior authorization processes.

Working knowledge of revenue cycle operations and denial prevention strategies.

Experience working with Medicare, Medicaid, commercial insurance plans, and managed care organizations required.

Proven ability to identify billing trends, troubleshoot issues, and recommend process improvements.

Familiarity with payer regulations, reimbursement methodologies, and compliance requirements, including CMS and HIPAA.

Working knowledge of electronic health record (EHR) and practice management systems, preferably NextGen.

Familiarity with medical terminology, CPT codes, diagnosis codes, and payer requirements.

Proficiency in Microsoft Office Suite, including Outlook, Excel, and Word.

Excellent organizational skills with the ability to manage multiple priorities and deadlines.

Strong analytical and problem-solving abilities.

Exceptional verbal and written communication skills.

Ability to maintain accuracy and attention to detail in a fast-paced environment.

Ability to work independently while collaborating effectively with cross-functional teams.

Knowledge of clearinghouse platforms (e.g., Waystar) is a plus.

Physical Demands:

The physical demands described here are representative of those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand, walk, and talk or hear. The employee frequently is required to use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and climb or balance. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

#IND

Education

Preferred

High School or better

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

insurance verification jobs in new jersey

Insurance Ver & Auth Coordinator

Insurance Verification & Authorization Specialist

Supervisor, Insurance Verification & Authorization

Insurance Coordinator - Verification & Authorization

Front Desk Associate

EVV

Patient Account Manager

NF/PIP and WC Collections Specialist

Credentialing Coordinator

Client Services Coordinator

Financial Services CoordinatorBusiness Specialist

EVV Clerk/Billing- Home Care

Bilingual Spanish/ Portuguese Dental Insurance/Billing Coordinator

Surgery Scheduler

Reimbursement Specialist

Management Skills - Medical / Wellness Center - Part Time Admin Position

Medical Administrative Assistant

Benefit Coordinator

Credentialing Specialist

Dental Receptionist

I want to receive the latest job alert for insurance verification in new jersey

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