Address
Form of workJob Description
Verification Specialist
(Hybrid Schedule)
(Hybrid Schedule)
Easterseals New Jersey is actively seeking a VERIFICATION SPECIALIST to join our team!
If you have a true passion for helping others by enriching the lives of people living with disabilities and special needs AND have a “CAN-DO” attitude, we want to meet you!
What’s in it for you?
- Competitive pay.
- Medical, Dental, and Vision Insurance.
- Flexible Spending Accounts.
- No Cost Life and Accidental Death Insurance.
- Employer Paid Long Term Disability Insurance.
- Plentiful Voluntary Benefits.
- Employee Assistance Program.
- 403(b) Plan with Match.
- Discount Programs.
- Generous Paid Time Off and Holidays.
- Paid Time Off Buy-Back.
- Paid Medical Leave Time.
- Direct Deposit and Payroll Cards.
- Access to Electronic Pay Statements.
- Mileage Reimbursement.
- Employee Wellness Program.
- Employee Referral Program.
- Employee Paid Orientation & Training.
- Recognition Program.
What will you do?
- The Verification Specialist will review and analyze case notes to ensure that the services rendered comply with the program participant’s Plan of Care (POC) for Medicaid billing purposes.
- Research, investigate, and follow-up with the self-directed employees (SDEs) and Program Participants to effectively resolve discrepancies impacting payments to providers and Medicaid billing.
- Ensures the delivery of outstanding and highly responsive customer service, both internal and external, with a high degree of flexibility and creativity.
- Reviews SDE case notes and timesheets to ensure accuracy of information, continuity of care, and appropriateness & timeliness of documentation in accordance with Medicaid’s billing requirements.
- Contacts SDEs when notes are not consistent with the set requirements, standards, and POC.
- Collaborates/Communicates with Verification Team Lead on any information received from Authorized Representatives, Support Coordinators, or SDEs regarding the participant’s care or needs.
- Researches, investigates, and follows-up with program participants to effectively resolve any discrepancies, which may have an impact on payments made to providers as well as Medicaid billings.
- Coordinates referrals for prior authorization and services covered.
- Ensures all required data is entered into Electronic Health Records (EHR) System within the required deadlines.
- Performs a variety of administrative tasks to ensure the Program maintains a high level of efficiency and effectiveness.
QUALIFICATIONS AND EXPERIENCE:
- Associate’s degree and/or 1 year of previous experience in data/insurance verification.
- Understanding of Medicaid billing procedures.
- Excellent verbal communication skills; Spanish a plus.
- Excellent typing skills and ability to transcribe notes as part of data intake into applications and systems.
- Excellent customer service and relationship management skills; detail-oriented; good time management skills.
- Intermediate skills and knowledge of MS Office software.
About Us!
Easterseals is a national 501(c)3 nonprofit organization that has helped children and adults with disabilities and special needs, live better lives for more than half a century. Annually, over 9,000 individuals with disabilities and specific special needs in New Jersey receive services in our programs. We believe everyone has an inalienable right to realize their potential and live their life as they envision it; everyone is allowed access to opportunities that permit them to do so.
Our employees dedicate themselves to making positive differences in people’s lives every day by living our Core Values: RESPECTFULNESS, WARMTH, EXPERTISE
Easterseals Is An Equal Opportunity Employer:
As one of our core values, we strive to provide equal opportunity to all of our employees without regard to their age, gender, religion, race, color, national origin, marital status, sexual orientation, disability which is unrelated to the ability to perform essential job functions, unfavorable military discharge (except dishonorable), veteran status, marital status, parental status, genetic information, source of income or other legally protected category in accordance with applicable law with regard to receipt of services, appointment or election to voluntary office, or hiring for, assignment to, or promotion in staff positions. Easterseals NJ offers paid training, 403(b) Retirement Plan and generous Paid Time Off for all employees! To view all benefit information, visit www.enjbenefits.com
Easterseals is a national 501(c)3 nonprofit organization that has helped children and adults with disabilities and special needs, live better lives for more than half a century. Annually, over 9,000 individuals with disabilities and specific special needs in New Jersey receive services in our programs. We believe everyone has an inalienable right to realize their potential and live their life as they envision it; everyone is allowed access to opportunities that permit them to do so.
Our employees dedicate themselves to making positive differences in people’s lives every day by living our Core Values: RESPECTFULNESS, WARMTH, EXPERTISE
Easterseals Is An Equal Opportunity Employer:
As one of our core values, we strive to provide equal opportunity to all of our employees without regard to their age, gender, religion, race, color, national origin, marital status, sexual orientation, disability which is unrelated to the ability to perform essential job functions, unfavorable military discharge (except dishonorable), veteran status, marital status, parental status, genetic information, source of income or other legally protected category in accordance with applicable law with regard to receipt of services, appointment or election to voluntary office, or hiring for, assignment to, or promotion in staff positions. Easterseals NJ offers paid training, 403(b) Retirement Plan and generous Paid Time Off for all employees! To view all benefit information, visit www.enjbenefits.com
About Easterseals New Jersey:
About Us!Easterseals is a national 501(c)3 nonprofit organization that has helped children and adults with disabilities and special needs, live better lives for more than half a century. Annually, over 9,000 individuals with disabilities and specific special needs in New Jersey receive services in our programs. We believe everyone has an inalienable right to realize their potential and live their life as they envision it; everyone is allowed access to opportunities that permit them to do so.
