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Rutgers University

Clinical Services Representative I

Rutgers University, Newark, New Jersey, us, 07175


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link.Department:

RHG-RWJ OHNS ClinicOverview:

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 six centers and institutes that focus on cancer treatment and research, neuroscience, clinical and translational research, 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 including New Brunswick, Piscataway, Newark, Scotch Plains, Somerset, Blackwood, and other locations. Clinical partners include Robert Wood Johnson University Hospital in New Brunswick, 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 Clinical Services Representative I for the Otolaryngology Clinic at the Robert Wood Johnson Medical School. The RWJMG Clinical Services Representative I performs a variety of billing and collection duties in support of clinic and/or business operations. Provides guidance, support, and leadership to Clinic Services Representatives II as needed. Functions as a senior staff member handling more complex issues and problems. Performs administrative tasks as assigned to support effective and efficient office operations in the Department of Otolaryngology. Provides coverage to offsite department locations.Key Duties:Answers the telephone with a pleasant demeanor, always identifying self and location.Competently performs financial functions based on assignment: Scheduling, pre-registration, recording patient arrival, administering financial and HIPAA paperwork, obtaining necessary signatures, receiving referral and pre-certification numbers; performs online insurance verification to assist patients with their payment options.Advises patients regarding preparation of necessary forms; counsels patients regarding paperwork requirements.Maintains computer databases entering changes in demographic, insurance, and other information as required.Collects copays and posts in the financial system; administers receipts and prepares necessary paperwork for later reconciliation of the batch transactions.Acts as the first point of contact with patients to resolve basic inquiries, involving insurance companies and third-party companies relating to billing, insurance payments, payment arrangements, etc. Collects co-payments or self-pay balances from patients. Researches complex billing issues and consults with management for resolution in accordance with established policies and procedures.Enters charges for assigned department if needed; reviews, edits and corrects problems with the charge entry.Position Status:

Full TimeDaily Work Shift:

RotatingWork Arrangement:

This position requires a fully on-site work arrangement.Minimum Education and Experience:

Three (3) years of progressively responsible clerical experience required, of which at least one (1) year must have been in a business setting involving billing and collection or medical insurance activities.Required Knowledge, Skills, and Abilities:Knowledge of medical terminology.Must be familiar with the billing practices of Medicaid and Medicare.Requires working with office equipment and confidential patient records and correspondence.Required to proofread and check documents for accuracy.Preferred Qualifications:Bi-lingual (English/Spanish) skills.Candidates having experience working in a federally qualified center.Physical Demands:Standing, sitting, walking, talking and hearing. No special vision requirements. Must be able to lift or exert force up to ten (10) pounds.Work Environment:Moderate noise environment with some exposure (less than 1/3 of the time) to blood borne pathogens requiring the use of personal protective equipment; some potential exposure (less than 1/3 of the time) to hazardous waste.Special Conditions:May require working evenings and/or Saturdays.All offers of employment are contingent upon successful completion of all pre-employment screenings.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.

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