Position InformationRecruitment/Posting Title Clinic Services Representative I
Job Category Staff & Executive - Administrative & Support Department RHG-RWJ Pediatrics 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.
Rutgers, The State University of New Jersey is seeking a Clinical Services Representative I for the Pediatrics Clinic within the Robert Wood Johnson Medical School.
The RWJMS Clinical Services Representative I performs administrative tasks as assigned to support effective and efficient office operations; mainly Prior Authorizations via Electronic Medical Records (EMR), fax and emails. Manages incoming requests for third party carrier prior authorizations for testing, procedures, medications and DME. Reviews request for compliance, accuracy and completion and initiate requests using online websites, portals, and telephone in a time sensitive manner. Comprehensive documentation and relaying resolution of prior authorization requests to the department providers, external providers and entities, and patients as appropriate. Providing appeal or peer-to-peer contact information when necessary. Responsible for timely re-work of pending requests for approval and/or providing any required additional information from the EMR in order to obtain an approval. Provide the physician or designee detailed instruction from the carrier on appeal of denied prior authorizations for services.
Among the key duties of this position are the following:
Position Status Full Time Hours Per Week Daily Work Shift Work Arrangement FLSA Nonexempt Grade 1850 Position Salary Annual Minimum Salary 23.840 Annual Mid Range Salary 24.340 Annual Maximum Salary 25.070 Standard Hours 40.00 Union Description Teamsters, Local 97 Payroll Designation PeopleSoft Benefits
Rutgers offers a comprehensive benefit program to eligible employees. For details, please go to https:// uhr.rutgers.edu/benefits/benefits-overview. Rutgers also offers a benefit program to eligible full-time postdoctoral fellow students. For details, please go to https: // finance.rutgers.edu/healthcare-risk/insurance/postdoctoral-health- insurance.
Seniority Unit Terms of Appointment Staff - 12 month Position Pension Eligibility PERS
Minimum Education and Experience
Certifications/Licenses Required Knowledge, Skills, and Abilities
Equipment Utilized Physical Demands and Work Environment Special Conditions
Posting DetailsPosting Number 23ST0435
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
All offers of employment are contingent upon successful completion of all pre- employment screenings.
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