Position Summary:

• 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.

Minimum Education and Experience:

• High school diploma or a GED required.
• Five (5) years of experience performing a full range of clerical support services that includes medical terminology required.
• Experience identifying and using ICD-10 and CPT codes.

City: New Brunswick

State: NJ

Physical Demands and Work Environment:

• Physical Demands: Standing, sitting, walking, talking and hearing. No special vision requirements. Must be able to lift or exert force up to 25 lbs.
• Work Environment: Office and clinical environment. Moderate noise.

Posting Number: 25ST1117

About Rutgers University

Rutgers, The State University of New Jersey, is a leading national public research university and the state's preeminent, comprehensive public institution of higher education. Rutgers is dedicated to teaching that meets the highest standards of excellence; to conducting research that breaks new ground; and to turning knowledge into solutions for local, national, and global communities. As it was at our founding in 1766, the heart of our mission is preparing students to become productive members of society and good citizens of the world. Rutgers teaches across the full educational spectrum: preschool to precollege; undergraduate to graduate and postdoctoral; and continuing education for professional and personal advancement. Rutgers is New Jersey's land-grant institution and one of the nation's foremost research universities, and as such, we educate, make discoveries, serve as an engine of economic growth, and generate ideas for improving people's lives.

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