Process Coordinator Jobs in Edison at Hackensack Meridian Health

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Process Coordinator provides direct administrative assistance to the Coordinated Care staff as it relates to the admission, discharge and denial process. Coordinates department workflow with use of computerized system. Acts as a liaison for patient and/or family, performing financial/social screens for discharge planning purposes. Coordinates and maintains data collection for performance improvement initiatives. Provides direct administrative assistance with the handling of incoming and outgoing correspondence.

Responsibilities

A day in the life of a Process Coordinator at Hackensack Meridian Health includes:

• Reviews all admitted patients by unit assignment via computerized system and communicates essential information to appropriate staff. Reviews daily discharge log and verifies discharge dates. Inputs discharge disposition into computerized system.
• Collaborates with physician advisor, appropriate case manager, and denials team to communicates denial information . Prepares all correspondence for denials for HQSI including but not limited to, termination of benefits and lower levels of care.
• Reviews and distributes RAC requests to physician advisors. Prepares all correspondence for DCS, Highmark, Maximus, and AJL. Maintains level of appeal log to ensure timely correspondence. Utilizes NJHA computerized appeals systems.
• Assigns all level of care determinations in computerized system as assigned by physician, staff, and/or insurance companies.
• Performs social/financial screen for patient/family as referred by staff. Reviews, monitors and maintains daily insurance logs.
• Prepares denial correspondence as needed.
• Maintains and updates HQSI agreement and disagreement statistics. Prepares reports for physician advisors as needed.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Associate Degree in Psych/Social preferred. High School diploma, general equivalency diploma (GED), and/or GED equivalent programs with equivalent job related experience considered.
• Acute care hospital experience, medical terminology, registration/insurance knowledge and computer skills are a plus.
• Computer skills including but not limited to Word, Excel and Power Point.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!   

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.