Job Title: AssociateLocation: Morris Cancer CenterDepartment Name: Cancer Ctr-AdminReq #: 0000212050Status: HourlyShift: DayPay Range: $17.17 - $25.00 per hourPay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.Job Function:The Program Associate is responsible for serving as a liaison for patients with respect to financial and scheduling issues.The Program Associate will work collaboratively with all research and non-research staff to maintain a timely and organized flow of patients through the clinical research process scheduling and insurance procedures.This role will focus on research patients, assuring that the patient experience of the research subject is positive and progresses smoothly.Education:Bachelor's degree in business- or health-related field requiredExperience:Minimum of one year of experience in a medical office setting physician office, hospital, clinic, health insurance company requiredKnowledge of medical insurance benefit coverage assessment and processing requiredKnowledge of oncology medical terminology, Medicare, Medicaid, managed care, traditional insurance, CPT, ICD-10 coding, and computerized billingsystems requiredBilingual in Spanish strongly preferredWork Environment and HazardsHealthcare office environmentSpecial Physical DemandsPhysical DemandsPosition entails frequent standing, bending, lifting and walkingA physical condition that allows reaching and general mobility within the departmentsManual dexterity is requiredVisual acuity must be such as to enable accurate performance of essential job dutiesHearing and speech must permitdirect and telephone communicationIn addition, must be able to function under rapidly changing and stressful conditionsSitting, standing, walking,some bending and liftingOther Physical Demands as requiredWork Contact Group / Additional ResponsibilitiesInterrelationships with patients, staff, vendors, visitors, physiciansJob Specific RequirementsMaintains timely and organized flow of patients through the clinical research process as it relates to insurance and billing procedures: Coordinates outpatient procedures for patients enrolled to clinical research studiesMeets with all patients at the time of signing consent toensure all insurance information is gathered and a determination is made regarding their benefit eligibility and out-of-pocket expensesConductsfirst patient study visits to determine charge integrity and distribution is accurateAssists patients in facilitating the processing of applications for Medicare, charity care, and/or specialty pharmacy benefitsCollaborates with Chamberlin Edmonds & Associates representatives to investigatethe self-pay population and to offer assistance with SSI, SSD, and Medicaid programsAssists the provider with completing all requisitions and paperworkMaintains a log of patients referred for evaluation and financial clearance in appropriate systemsPerforms various front office procedures: Schedules patient appointments, including outside physician, hospital, and ancillary servicesIdentifies and resolves registration discrepanciesCoordinates with the finance department to assign 499 accounts and NCT numbers for appropriate charge captureCoordinates the provision of home care servicesObtains authorizations and places ordersEnsures appropriate paperwork is submitted to Patient Admitting for research procedures and billing labels are available for patient visitFiles all appropriate correspondence andpatient-related informationPrepares and handles incoming and outgoing mailCoordinates the receipt of patient medical recordsCoordinatesthe admission of research patients and ensures proper billingVerifies patient insurance benefits and obtains authorizations as needed for services to be providedMaintains and locates approved insurance carrier list for each physician and practiceObtains authorizations for outpatient treatment and diagnostic studiesObtains gap exceptions for patients with non-participating insuranceAssists with research billing procedures and forms as directedCoordinates charge capture and billing issues as it relates to research proceduresReviews billing plans with patients prior to enrollmentQueries research team to clarify, reconcile, and complete charge issuesResolves billing questions and queries using internal billing and patient systemsWorks closely with investigator and research teams to resolve patient billing errors and other study-related chargesEnsures clinical research processes are patient centeredActively contributes to creating a friendly, welcoming, and safe environmentTreats patients and visitors in a caring and professional mannerDrives collaboration with clinical staff, including physiciansContinuously displays role-model behaviors to contribute to the company's core valuesMaintains professional composure and confidence during stressful situationsCompletes all delegated tasks including, but not limited to orienting and training new team members, attending training programs, modules, workshops, etc. as appropriate, and working collaboratively with all team members to ensure that services are coordinated and delivered to patientsBenefits and Perks:At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:Paid Time Off including Vacation, Holidays, and Sick TimeRetirement PlansMedical and Prescription Drug InsuranceDental and Vision InsuranceDisability and Life InsurancePaid Parental LeaveTuition ReimbursementStudent Loan Planning SupportFlexible Spending AccountsWellness ProgramsVoluntary Benefits (e.g., Pet Insurance)Community and Volunteer OpportunitiesDiscounts Through our Partners such as NJ Devils, NJ PAC, and Verizon....and more!Choosing RWJBarnabas Health!RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey"”whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.Equal Opportunity Employer#LI-SK1
Job Title
Preauthorization Associate