Franklin Township

Insurance Verification Specialist

Member Advocate position available for our brand-new outpatient family practice located in Franklin, NJ.

This office is part of the Partnership Health family of offices in New Jersey open only to the members of the Franklin Township School District.

Do you have a passion for helping others troubleshoot issues with the complex healthcare system? Are you a person who yearns to support those who may come to you with sensitive and personal health care issues?

We are looking for a self-disciplined, energetic, passionate full-time employee to join our professional and compassionate team of high touch on site Partnership Health Center Member Advocates dedicated to helping our members and their dependents deal with the intricacies of the healthcare system.

Member Advocate Job Functions, including but not limited to:

  • Assist members with questions regarding benefits, network access, prior authorizations, and claim processing
  • Manage certain insurance carrier communications for members
  • Build and maintain relationships with client's administrative personnel to ensure client satisfaction, including but not limited to assisting with administration of wellness programs, health fairs and health center promotional efforts
  • Provide administrative support to clinical staff as directed, including provider credentialing processes and vaccinations programs.

Qualifications
  • Strong interpersonal skills
  • Robust understanding of health insurance benefits and claims processing
  • Professional communications, including writing and strong in-person relationship skills with clients and external contractors
  • Proficiency in Microsoft Office Suite: Outlook, Word, and Excel specifically
  • Candidate must have the ability to work independently, as well as collaborate as a team player
  • Experience in health insurance administration and claims processing

Education
Bachelors preferred; Or equivalent of 4+ years' experience
Integrity Health manages health plans for public employers using our dedicated Partnership Health Center as a primary care "home-base" for their employees. We are looking for a self-disciplined, full-time employee to join our professional team in the position of an onsite Partnership Health Center Member Advocate. This role is dedicated to helping those eligible to enjoy Partnership Health Center services deal with the bureaucratic intricacies of their healthcare plan. It is a high visibility, onsite position that requires interaction with health plan sponsors, insurance companies and covered members as well as clinical staff at the Partnership Health Center. A Member Advocate will assist health plan members with questions regarding health plan coverage and processing of claims, as well as a variety of other informational and management issues of their health plan
Job Type: Full-time
Salary: $40,000.00 - $45,000.00 per year
Benefits:
  • Dental insurance
  • Health insurance
  • Paid time off

Shift:
  • Day shift
Weekly day range:
  • Monday to Friday
  • Weekend availability

RN Care Coordinator

Franklin Township, NJ, US

Partnership Health Center in Franklin, NJ is seeking a full-time RN Care Coordinator to work on-site at our Somerset Partnership Health Center. The position is Monday-Friday and pays competitively. The Integrity Health Care Coordinator works in collaboration and continuous partnership with chronically ill or "high-risk" patients, their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach. A rewarding and challenging position, the successful candidate will meet the following criteria:

The Care Coordinator will be expected to engage with between 10-15 patients per workday with engagement defined broadly as:

  • Face to Face visit
  • Telephonic engagement
  • Engagement with Treating Providers
  • Documentation Research, Analysis, and Care Planning


A typical day for the Care Coordinator will entail spending half of the day conducting extended patient meetings or other engagements as described above (approximately 30-45 minutes long). The other half of the day will be spent on follow-up with patients, family/caregiver(s), providers, and community resources via secure email, phone calls, text messages, and other communications.

Requirements:
  • Self-disciplined, energetic, passionate, innovative
  • A team player that can follow a system and protocol to achieve a common goal
  • Highly organized and well-developed oral and written communication skills
  • Demonstrates sound judgment, decision-making and problem-solving skills
  • Able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations
  • Confidence to communicate and outreach to other community health care organizations and personnel.
  • Proficient computer skills, including Microsoft Office (specifically Word, Excel, PowerPoint, and Access)


Education:

R.N. Required.
Graduation from an accredited university or community college with a background in science, including a degree in Biology, Chemistry, Nursing, Anatomy and Physiology, Public Health, Behavioral Science, or a similar degree.

Experience:
5-10 years' experience in a variety of settings including Hospital, Ambulatory Care, Post-Acute Care, Health Plan/Benefits Management, and Disease Management

Hamilton

Insurance Verification Specialist

Hamilton, NJ, US

Member Advocate position available for our brand-new outpatient family practice located in Hamilton, NJ.

This office is part of the Partnership Health family of offices in New Jersey open only to the members of Hamilton Township.

Do you have a passion for helping others troubleshoot issues with the complex healthcare system? Are you a person who yearns to support those who may come to you with sensitive and personal health care issues?

We are looking for a self-disciplined, energetic, passionate full-time employee to join our professional and compassionate team of high touch on site Partnership Health Center Member Advocates dedicated to helping our members and their dependents deal with the intricacies of the healthcare system.

Member Advocate Job Functions, including but not limited to:

  • Assist members with questions regarding benefits, network access, prior authorizations, and claim processing
  • Manage certain insurance carrier communications for members
  • Build and maintain relationships with client's administrative personnel to ensure client satisfaction, including but not limited to assisting with administration of wellness programs, health fairs and health center promotional efforts
  • Provide administrative support to clinical staff as directed, including provider credentialing processes and vaccinations programs.


Qualifications
  • Strong interpersonal skills
  • Robust understanding of health insurance benefits and claims processing
  • Professional communications, including writing and strong in-person relationship skills with clients and external contractors
  • Proficiency in Microsoft Office Suite: Outlook, Word, and Excel specifically
  • Candidate must have the ability to work independently, as well as collaborate as a team player
  • Experience in health insurance administration and claims processing


Education
Bachelors preferred; Or equivalent of 4+ years' experience
Integrity Health manages health plans for public employers using our dedicated Partnership Health Center as a primary care "home-base" for their employees. We are looking for a self-disciplined, full-time employee to join our professional team in the position of an onsite Partnership Health Center Member Advocate. This role is dedicated to helping those eligible to enjoy Partnership Health Center services deal with the bureaucratic intricacies of their healthcare plan. It is a high visibility, onsite position that requires interaction with health plan sponsors, insurance companies and covered members as well as clinical staff at the Partnership Health Center. A Member Advocate will assist health plan members with questions regarding health plan coverage and processing of claims, as well as a variety of other informational and management issues of their health plan
Job Type: Full-time
Salary: $40,000.00 - $45,000.00 per year
Benefits:
  • Dental insurance
  • Health insurance
  • Paid time off

Shift:
  • Day shift

Weekly day range:
  • Monday to Friday
  • Weekend availability