RWJBarnabas Health
Overview
Job Title: Associate Location: 165 Somerset Street, New Brunswick, NJ 08901 Facility: RWJ New Brunswick Department: Cancer Ctr-Admin Req #: 0000212050 Category: Clerical / Administrative Support Status: Full-Time Shift: Day Pay Range: $17.17 - $25.00 per hour
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. Responsibilities / Job Specific Requirements
Maintains 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 studies Meets with all patients at the time of signing consent to ensure all insurance information is gathered and a determination is made regarding their benefit eligibility and out-of-pocket expenses Conducts first patient study visits to determine charge integrity and distribution is accurate Assists patients in facilitating the processing of applications for Medicare, charity care, and/or specialty pharmacy benefits Collaborates with Chamberlin Edmonds & Associates representatives to investigate the self-pay population and to offer assistance with SSI, SSD, and Medicaid programs Assists the provider with completing all requisitions and paperwork Maintains a log of patients referred for evaluation and financial clearance in appropriate systems Performs various front office procedures: Schedules patient appointments, including outside physician, hospital, and ancillary services Identifies and resolves registration discrepancies Coordinates with the finance department to assign 499 accounts and NCT numbers for appropriate charge capture Coordinates the provision of home care services Obtains authorizations and places orders Ensures appropriate paperwork is submitted to Patient Admitting for research procedures and billing labels are available for patient visit Files all appropriate correspondence and patient-related information Prepares and handles incoming and outgoing mail Coordinates the receipt of patient medical records Coordinates the admission of research patients and ensures proper billing Verifies patient insurance benefits and obtains authorizations as needed for services to be provided Maintains and locates approved insurance carrier list for each physician and practice Obtains authorizations for outpatient treatment and diagnostic studies Obtains gap exceptions for patients with non-participating insurance Assists with research billing procedures and forms as directed Coordinates charge capture and billing issues as it relates to research procedures Reviews billing plans with patients prior to enrollment Queries research team to clarify, reconcile, and complete charge issues Resolves billing questions and queries using internal billing and patient systems Works closely with investigator and research teams to resolve patient billing errors and other study-related charges Ensures clinical research processes are patient centered Actively contributes to creating a friendly, welcoming, and safe environment Treats patients and visitors in a caring and professional manner Drives collaboration with clinical staff, including physicians Continuously displays role-model behaviors to contribute to the company's core values Maintains professional composure and confidence during stressful situations Completes all delegated tasks including orienting and training new team members, attending training programs, modules, workshops, etc., and working collaboratively with all team members Qualifications
Education:
Bachelor's degree in business- or health-related field required Experience: Minimum of one year of experience in a medical office setting (physician office, hospital, clinic, health insurance company) required Knowledge of medical insurance benefit coverage assessment and processing required Knowledge of oncology medical terminology, Medicare, Medicaid, managed care, traditional insurance, CPT, ICD-10 coding, and computerized billing systems required Bilingual in Spanish strongly preferred Work Environment and Hazards: Healthcare office environment Special Physical Demands / Physical Demands: Position entails frequent standing, bending, lifting and walking; a physical condition that allows reaching and general mobility within the departments; manual dexterity required; visual and hearing/speech abilities adequate for job duties; ability to function under rapidly changing and stressful conditions; sitting, standing, walking, some bending and lifting; other physical demands as required Interrelationships with patients, staff, vendors, visitors, physicians Benefits
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health, including but not limited to: Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners Flexible options and additional programs Equal Opportunity Employer
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Job Title: Associate Location: 165 Somerset Street, New Brunswick, NJ 08901 Facility: RWJ New Brunswick Department: Cancer Ctr-Admin Req #: 0000212050 Category: Clerical / Administrative Support Status: Full-Time Shift: Day Pay Range: $17.17 - $25.00 per hour
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. Responsibilities / Job Specific Requirements
Maintains 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 studies Meets with all patients at the time of signing consent to ensure all insurance information is gathered and a determination is made regarding their benefit eligibility and out-of-pocket expenses Conducts first patient study visits to determine charge integrity and distribution is accurate Assists patients in facilitating the processing of applications for Medicare, charity care, and/or specialty pharmacy benefits Collaborates with Chamberlin Edmonds & Associates representatives to investigate the self-pay population and to offer assistance with SSI, SSD, and Medicaid programs Assists the provider with completing all requisitions and paperwork Maintains a log of patients referred for evaluation and financial clearance in appropriate systems Performs various front office procedures: Schedules patient appointments, including outside physician, hospital, and ancillary services Identifies and resolves registration discrepancies Coordinates with the finance department to assign 499 accounts and NCT numbers for appropriate charge capture Coordinates the provision of home care services Obtains authorizations and places orders Ensures appropriate paperwork is submitted to Patient Admitting for research procedures and billing labels are available for patient visit Files all appropriate correspondence and patient-related information Prepares and handles incoming and outgoing mail Coordinates the receipt of patient medical records Coordinates the admission of research patients and ensures proper billing Verifies patient insurance benefits and obtains authorizations as needed for services to be provided Maintains and locates approved insurance carrier list for each physician and practice Obtains authorizations for outpatient treatment and diagnostic studies Obtains gap exceptions for patients with non-participating insurance Assists with research billing procedures and forms as directed Coordinates charge capture and billing issues as it relates to research procedures Reviews billing plans with patients prior to enrollment Queries research team to clarify, reconcile, and complete charge issues Resolves billing questions and queries using internal billing and patient systems Works closely with investigator and research teams to resolve patient billing errors and other study-related charges Ensures clinical research processes are patient centered Actively contributes to creating a friendly, welcoming, and safe environment Treats patients and visitors in a caring and professional manner Drives collaboration with clinical staff, including physicians Continuously displays role-model behaviors to contribute to the company's core values Maintains professional composure and confidence during stressful situations Completes all delegated tasks including orienting and training new team members, attending training programs, modules, workshops, etc., and working collaboratively with all team members Qualifications
Education:
Bachelor's degree in business- or health-related field required Experience: Minimum of one year of experience in a medical office setting (physician office, hospital, clinic, health insurance company) required Knowledge of medical insurance benefit coverage assessment and processing required Knowledge of oncology medical terminology, Medicare, Medicaid, managed care, traditional insurance, CPT, ICD-10 coding, and computerized billing systems required Bilingual in Spanish strongly preferred Work Environment and Hazards: Healthcare office environment Special Physical Demands / Physical Demands: Position entails frequent standing, bending, lifting and walking; a physical condition that allows reaching and general mobility within the departments; manual dexterity required; visual and hearing/speech abilities adequate for job duties; ability to function under rapidly changing and stressful conditions; sitting, standing, walking, some bending and lifting; other physical demands as required Interrelationships with patients, staff, vendors, visitors, physicians Benefits
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health, including but not limited to: Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners Flexible options and additional programs Equal Opportunity Employer
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