Full time Insurance & Authorizations Associate needed for our State Programs Authorization Team
BAYADA Home Health Care, one of the nation's premier Home Health companies, has a full time opening for an Associate to become part of our dedicated State Programs Authorization team, conveniently located in Parsippany, NJ.
The Associate will perform intake and coordinate staffing of PCA referrals, as well as obtain and track insurance authorizations for hourly personal care services and confirm eligibility on a monthly basis. An important success factor for this role is the ability to build and maintain strong relationships with payors, referral sources, and internal BAYADA service offices. The successful candidate will have strong customer service skills, attention to detail, and an all hands on deck attitude. As the State Programs team focuses on Managed Medicaid payors, an understanding of managed care is a plus. You will have a caseload for which you are accountable for managing throughout its lifecycle. Use your insurance knowledge, organizational and follow up skills to build a career, while helping our clients to live better lives!
Work hours will be 8:30am to 5:00pm Monday through Friday.
As a member of our State Programs Authorization Support team, you will be responsible for supporting BAYADA assistive care state programs offices. Specific responsibilities include, but are not limited to:
Performing intake for State Programs (assistive care) referrals
Knowledgeably and professionally handling incoming calls from referral sources
Interacting daily with various Managed Medicaid payors, as well as internal service offices
Obtaining, tracking & communicating insurance authorizations for hourly services
Confirming insurance eligibility on a monthly basis
Verifying deductibles, copays, exclusions, billing addresses
Obtaining Letter of Denial from primary insurances when needed
Building and maintaining relationships with payors and referral sources for PCA services
Providing Coordination of Service notes and submitting physician orders to payors as needed
Functioning as the main point of contact for the personal care offices to which you are assigned
Bachelor's Degree strongly preferred; will consider appropriate years of directly related experience in lieu of degree
Prior authorization experience preferred
Working knowledge/understanding of the Managed Care system
Superb customer service and telephone skills
Strong follow up skills and attention to detail
Prior case management experience a plus
"All hands on deck" attitude
As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.
Founded in 1975 by J. Mark Baiada, BAYADA Home Health Care provides nursing, rehabilitative, therapeutic, hospice, and assistive care services to children, adults, and seniors in the comfort of their homes. BAYADA employs more than 26,000 nurses, home health aides, therapists, medical social workers, and other home health care professionals who serve their communities in 22 states from more than 350 offices, with locations in Germany, India, Ireland, New Zealand, South Korea, Canada, and the UK.
In 2019, Baiada oversaw the company's unprecedented transition to a not-for-profit organization to ensure BAYADA's mission, purpose, and business model would endure, and to help BAYADA realize its vision of helping millions of people worldwide experience a better quality of life at home.
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers and qualified applicants will not be discriminated against on the basis of race, religion, gender and gender identity, nationality and origin, disability, sexual orientation, age, veteran status, and experiences.
BAYADA Home Health Care, Inc. is an Equal Opportunity Employer and qualified applicants will not be discriminated against on the basis of race, color, religion, sex, national origin, disability, or veteran status.
BAYADA Home Health Care, Inc.