Billing Technician/ Precert
: Job Details :

Position Details

Position Information

Recruitment/Posting Title Billing Technician/ Precert Job Category Staff & Executive - Administrative & Support Department RHG-RWJ Surgery Clinic Overview

New Jersey's academic health center, Rutgers Biomedical and Health Sciences (RBHS) takes an integrated approach to educating students, providing clinical care, and conducting research, all with the goal of improving human health. Aligned with Rutgers University-New Brunswick and collaborating university wide, RBHS includes eight schools, a behavioral health network, and five centers and institutes that focus on cancer treatment and research, neuroscience, advanced biotechnology and medicine, environmental and occupational health, and health care policy and aging research.

Our faculty are teachers, clinicians, and scientists with unparalleled experience who advance medical innovation and provide patient care informed by the latest research findings. We offer an outstanding education in medicine, dentistry, pharmacy, public health, nursing, biomedical research, and the full spectrum of allied health careers.

Our clinical and academic facilities are located throughout the state-at Rutgers University-New Brunswick, including Piscataway; and at locations in Newark, Scotch Plains, Somerset, Stratford, and other locations. Clinical partners include Robert Wood Johnson University Hospital in New Brunswick, Newark's University Hospital in Newark, and other affiliates.

Through this community of healers, scientists, and scholars, Rutgers is equipped as never before to transform lives.

Posting Summary

Rutgers, The State University of New Jersey, is seeking a Billing Tech/Precert for the Surgery Clinic at the Robert Wood Johnson Medical School.

The primary purpose of this position is to provide procedure pre-certification services for the Department of Surgery/Dermatology POD at the Rutgers Robert Wood Johnson Medical School. This entails providing patient information to insurance companies to support procedures requested by Department of Medicine physicians. Heavy telephone volume. Confidentiality and the ability to work independently are critical to the success of this assignment.

Among the key duties of this position are the following:

* Monitors scheduled procedures and maintains organized list with status of pre-certification process.

* Verifies insurance eligibility and benefits via phone and/or internet access. Updates insurance policy information, as required.

* Checks insurance payment policy for scheduled procedures and obtains prior authorization when required.

* Verifies receipt of all necessary pre-authorization documents prior to procedure.

* Communicates effectively and updates EMR with all actions taken during precertification process.

* Assigns appropriate ICD9 and CPT codes pre-operatively based on documentation and booking slips.

* Notifies primary care physician for managed care plans that require PCP authorization.

Position Status Full Time Hours Per Week Daily Work Shift Rotating Work Arrangement

This position requires a fully on-site work arrangement.

FLSA Nonexempt Grade 185 Position Salary Annual Minimum Salary 51896.00 Annual Mid Range Salary 52936.00 Annual Maximum Salary 54516.80 Standard Hours 40.00 Union Description Teamsters 97 Payroll Designation PeopleSoft Benefits

Rutgers offers a comprehensive benefit program to eligible employees. For details, please go to

Seniority Unit Terms of Appointment Staff - 12 month Position Pension Eligibility PERS

Qualifications

Minimum Education and Experience

* Four (4) years of general office/billing experience, three (3) years of which shall have been in a physician, hospital or health center billing setting, including management of various types of insurance billing processes.

* Experience in accessing and retrieving information from a computer database.

Certifications/Licenses Required Knowledge, Skills, and Abilities

* Familiarity with medical terminology.

* Superior customer service.

* Excellent communication and organization skills and a demonstrated ability to work independently.

Preferred Qualifications

* Knowledge of medical services coding.

Equipment Utilized Physical Demands and Work Environment

* Physical Demands: Standing, sitting, walking, talking and hearing. No special vision requirements. Lifting up to 25 lbs.

* Work Environment: Office environment with moderate noise.

Special Conditions

Posting Details

Posting Number 24ST2524 Posting Open Date Special Instructions to Applicants Regional Campus Rutgers Biomedical and Health Sciences (RBHS) Home Location Campus Downtown New Brunswick City New Brunswick State NJ Location Details

Pre-employment Screenings

All offers of employment are contingent upon successful completion of all pre-employment screenings.

Immunization Requirements

Under Policy 100.3.1 Immunization Policy for Covered Individuals, if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption. Additional infection control and safety policies may apply. Prospective employees should speak with their hiring manager to determine which policies apply to the role or position for which they are applying. Failure to provide proof of vaccination for any required vaccines or obtain a medical or religious exemption from the University will result in rescission of a candidate's offer of employment or disciplinary action up to and including termination.

Affirmative Action/Equal Employment Opportunity Statement

It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. For additional information please see the Non-Discrimination Statement at the following web address:

Supplemental Questions

Required fields are indicated with an asterisk (*).

* * Do you have four (4) years of general office/billing experience, three (3) years of which shall have been in a physician, hospital or health center billing setting?

* Yes

* No

Applicant Documents

Required Documents

* Resume/CV

Optional Documents

* Cover Letter/Letter of Application