St. John’s is leading and inspiring a shift in society’s views of elderhood. Join our family of dedicated, talented employees who are at the forefront of innovative senior services delivery in this community. St. John’s embraces living every day by fostering a culture that is friendly, respectful, responsive, compassionate, innovative, and fun for both employees and the elders and residents that call St. John’s home. If this description speaks to you, continue reading about the opportunity of Insurance Specialist. This is a full-time, 40 hours per week position at St. John’s Home. Position Summary: The Insurance Specialist is responsible for reviewing financial information and documents subsequent to admission and meeting with families and/or residents to review for accuracy. The Insurance Specialist completes insurance verification on all re-admissions and Part B referrals. Responsibilities include:
Verifying eligibility coverage for new and readmitted residents with insurance plans not limited to: Medicare, HMOs, PPS, No Fault, Medicaid, Long Term Care, and Part D Plans.
Obtain insurance authorizations and MLTC single case agreements for new and readmitted residents.
Issue ABNs and or cut letters on admission and re-admission to residents and or families.
As needed assist with Admission Agreements
Create and update resident demographics and payer hierarchy in EMR to ensure clean claims by Business Office.
Evaluate Long Term Care applications from rehabilitation and community.
Facilitate timely Medicaid applications for residents.
Participate in Triple Check and Rehab Review to proactively identify insurance changes.
Meet with Elders and Families upon admission and transition from Rehabilitation to Long Term Care, as needed discuss insurance matters and financial inquiries.
Qualifications:
Demonstrated excellence in written and verbal communication skills.
Excellent customer service and problem-solving skills.
Detail orientated organizational skills.
Able to prioritize in a fast-paced office environment.
Proficiency in using Electronic Health Records.
Efficient in navigating multiple programs and insurance databases simultaneously.
Basic understanding of medical terminology, coding and billing.
Physical Requirements:
General office environment.
Prolonged sitting.
Standing and walking.
Light lifting up to 10 lbs.
Check out what we have to offer YOU at https://www.stjohnsliving.org/careers:
Health, dental, vision insurance (30 hours+)
Employer sponsored life insurance & telemedicine (30 hours+)
Weekly paychecks
Competitive pay
Ability to pay your bills before pay day through PayActiv: https://www.payactiv.com/employees/
Free parking
24/7 fitness center
Generous paid time off and holidays
On-site child care
Employee Assistance Plan
Cell phone discounts
Recognition activities and events
St. John’s is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by laws and regulations.
