Posting Summary
Rutgers The State University of New Jersey is seeking a Surgical Representative for the division of Urology at the Robert Wood Johnson Medical School. Serves as primary staff liaison with all surgery patients from initial physician recommendation for surgery until surgery is completed. Provides financial planning and service to patient and physicians to facilitate the scheduling and performance of surgical procedures; provide support paperwork and documentation to patients and physicians; maintains awareness of various HMOs Commercial PPOs Medicare Medicaid HMOs Workers Comp/No fault insurance carriers restrictions to assure all necessary criteria are met prior to surgery. Among the key duties of this position are the following: Serves as a liaison for the OMFS interns residents and fellows by providing insurance guidelines authorizations and support for clinic patients requiring surgery. Reviews surgical procedures with doctor to make CPT and ICD coding recommendations. Verifies patient eligibility and benefits and obtain pre-authorization if required for surgery. Utilizes HCPCs codes to secure authorization for nutritional supplements medications or other items deemed medically necessary for an effective recovery for the patient. Effectively communicates with patient registration desk utilization management nurses and medical director to give all pertinent clinical documentation as required to secure the surgical authorization. Tracks status of pending pre-certifications and pre-authorizations keeping the providers informed of status. Maintains and updates notes on the Authorization Status Report for all team members to access information as needed. Informs prospective surgery patients of insurance coverage and their financial responsibility. Utilizes surgical authorization form for patient to sign reflecting insurance benefits patient responsibility and establishing payment plans as necessary.
Overview
New Jerseys 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 UniversityNew 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.
Preferred Qualifications
Five years of experience performing a full range of clerical support services that includes medical terminology preferred.
Required Experience:
Unclear Seniority