Clinical Reimbursement Specialist
About the role
The Visiting Nurse Association Health Group (VNAHG) is a mission‑driven nonprofit that has been trusted by New Jersey families for more than 110 years. Our team delivers a wide range of services, including home health, rehabilitation, hospice, and community‑based care, so individuals can receive the support they need where they feel most comfortable. Joining VNAHG means contributing to a mission that puts people first and strengthens the health of our communities. Responsible for obtaining and verifying insurance coverage, securing required authorizations, and reporting third‑party reimbursement information to ensure accurate coverage and timely payment.
Responsibilities
- Supports organization’s mission by striving for excellence in all aspects of the job with a focus on positive interpersonal relationship with co‑workers
- Assures accurate and timely verification of reimbursement information to ensure coverage of insurance
- Assure authorization (if required by payer) is obtained in a timely manner
- Perform payer coverage duties as assigned
- Assists in designing, implementing and maintaining a manual of insurance resource information in collaboration with the Manager of Clinical Reimbursement
- Establishes and maintains positive working relationship and communication with external and internal groups
- Monitors quality and appropriateness of services and processes
- Other duties as assigned
- Adheres to the organization’s policy regarding absenteeism and appearance
Requirements
- High School Diploma/GED required; Associates degree preferred
- Prior experience working with managed care and workers’ compensation carriers
- Knowledge of third‑party reimbursement
- Strong computer skills
- Excellent written and verbal communication skills
- Excellent interpersonal and organizational skills
Benefits
Benefits that care for you — Enjoy comprehensive benefits designed to support your well‑being at work and at home.
Pay
In compliance with New Jersey's Pay Transparency Act, the compensation range for this position is USD $16.00 to USD $24.00.