Verification Specialist

CentraState Healthcare System, headquartered in Freehold, New Jersey is a leading non - profit healthcare delivery system in New Jersey. The System includes CentraState Medical Center a community-based hospital, an ambulatory campus, three senior living facilities and three free-standing community health pavilions, and a charitable foundation. As the 3rd largest employer in Monmouth County, CentraState Healthcare System continues to live up to its reputation of being a truly great place to work recently designated a Great Place to Work-Certified company.

Access services is comprised of Central Scheduling, Outpatient Registration, Admitting, Insurance Verification, Cashier and ED Registration and Reception. Some benchmarks that we are very proud of include:

Average wait/registration time is 9 minutes, compared to the national average of 11 minutes
• 60% of the Access Services are nationally Certified Healthcare Access Associates
• Outpatient Registration/Scheduling and ED Registration have been in the 90th percentile for the last 10 years

This department works closely as a team as a part of our revenue cycle management division.

• Verifies each account in hospital registration system following all departmental procedures to ensure compliance with state and federal regulations.
• Obtains and determines the coordination of benefits and accurately inputs into computer software.
• Clearly documents in computer system all communication with patients, family embers, insurance companies and physicians.
• Completes quality checks and the review of each account for correct information.
• Re-verifies denied accounts. Resubmits and completes process for appeal.
• Coordinates with insurance companies, patients, physicians, and/or employers to verify coverage, to notify of services and to obtain pre-certification and/or referral
• requirements.
• Coordinates discussions with physicians and physician's staff and patients on status of account and actions that will be taken.
• Facilitates discussion with patients and/or families on patient's financial responsibilities.
• Investigates all self pay, workers compensation, no fault and secondary coverage.
• Accurately completes all forms required for a complete verification and sends to
• appropriate entity, Medicaid requirements to Self Pay Company, 21 day notices to No Fault Carriers, ABN to out patient departments.
• Works with physician offices to ensure accurate CPT coding for authorizations and maximum payment of contracted rates.

• High School Diploma or Equivalent required
• Previous hospital experience in scheduling, registration or billing preferred
• Knowledge of medical terminology and strong customer service skills required

CentraState Healthcare System, in partnership with Atlantic Health System, is a fully accredited, not-for-profit, community-based health system dedicated to providing comprehensive health services in central New Jersey. Beyond offering a wide range of advanced diagnostic and treatment options, CentraState is committed to being a valuable health partner, focusing on disease prevention, promoting healthy behaviors, and helping individuals of all ages live well.

Located in Freehold, CentraState includes a 284-bed acute-care hospital, a dynamic health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions. These pavilions offer primary care, specialty physician practices, and access to outpatient services such as lab work and physical therapy.

CentraState is proud to be among the less than two percent of hospitals nationwide to earn Magnet designation for nursing excellence five times. Additionally, it has been recognized as a Great Place to Work-Certified Company by Great Place to Work for four consecutive years.

Joining CentraState means becoming part of a pioneering healthcare facility committed to high-quality, patient-focused care. We invite you to make a difference in our community and advance your career with us. We support our employees with work/life balance initiatives, tuition assistance, career advancement opportunities, and more.

Discover why our employees love their jobs and being part of the CentraState family!

CentraState Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members.

What We Offer:

• Medical, Dental, Vision, Prescription Coverage (30 hours per week or above for full-time and part-time team members)
• Life & AD&D Insurance
• Long-Term Disability (with options to supplement)
• 403(b) Retirement Plan with employer match
• 401(a) Retirement Plan with employer contribution
• PTO
• Tuition Reimbursement
• Well-Being Rewards
• Employee Assistance Program (EAP)
• Fertility Coverage, Healthy Pregnancy Program
• Flexible Spending & Commuter Accounts
• Pet, Home & Auto, Identity Theft and Legal Insurance
• Growth Opportunity and Workforce Development Initiatives
• Continuing Education / Onsite Training
• A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
• Concierge Services with Work & Family Benefits
• Magnet recognized healthcare facility

Compensation Range: $18.00 - 28.80 per hour

The compensation above reflects the established range from CentraState Healthcare System (CSHS) for this position at the time the job was posted. CSHS considers many factors to determine compensation, including education, experience, skills, licenses, certification, and training. As such, team member compensation may fall outside this range.

Additionally, the compensation range reflects base salary and does not include extra shift rates or incentives tied to quality, productivity, etc., as applicable.

The benefits outlined also reflect CSHS' policy at the time of posting. Benefits as are made available to other similarly situated team members of CSHS, although participation is at all times in accordance with and subject to the eligibility and other provisions of such plans and programs. CSHS may modify its benefits plans or programs at any time.

CSHS is proud to comply with all pay equity and pay transparency laws.