Clinical Services Representative I

Rutgers University; New Brunswick (NJ); On-site; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical coverage

Paid time off

Retirement plans

Education benefits

Job summary

Rutgers University seeks a Clinical Services Representative I for the Surgery department at RBHS in New Brunswick, NJ. This role performs billing, registration, and collection duties across multiple clinic sites, acting as a senior staff member for more complex issues.

The position handles co-pay collection, insurance inquiries, and demographic updates, ensuring accurate information and efficient patient flow across on-site clinics.

Qualifications

• Three years of progressively responsible clerical experience, including billing/collection.
• Experience accessing and retrieving information from a computer database.

Responsibilities

• Act as first point of contact with patients to resolve basic inquiries related to billing and insurance.
• Collect co-payments or self-pay balances and research complex issues with management guidance.
• Verify and update patient demographics and insurance information in clinic databases.
• Handle patient registration, check-out, and charge entry transactions.
• Monitor accuracy of billing records and assist in routine audits.

Skills

Billing & collections

Customer service

Data entry

Insurance coordination

Tools

PATCOM

WebMD

IDX

Navinet

Job description

Position Details

Position Information

Recruitment/Posting Title: Clinical Services Representative I

Job Category: Staff & Executive - Healthcare - Administrative Services

Department: RWJ - Surgery Colon Rectal

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 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.

Posting Summary: Rutgers, The State University of New Jersey, is seeking a Clinical Services Representative I for the department of Surgery at the Robert Wood Johnson Medical School.

Performs a variety of billing and collection duties in support of clinic and/or business operations. Provides guidance to Clinic Services Representatives II at a variety of clinic sites, as needed. Functions as a senior staff member handling more complex issues and problems.

Among the key duties of this position are the following:

• Acts as the first point of contact with patients to resolve basic inquiries, involving insurance companies and third party companies relating to billing, insurance payments, payment arrangements, etc.
• Collects co-payments or self-pay balances from patients. Researches complex billing issues and consults with management for resolution in accordance with established guidelines.
• Verifies and updates patient demographic, insurance and other information by utilizing various database systems (e.g., PATCOM, WebMD, IDX, Navinet, etc.)
• Responsible for patient registration, check-out, and/or charge entry transactions.
• Monitors accuracy of billing records and assists in auditing of same, as required. Ensures that information provided to patients, co-workers, insurance companies, etc. is accurate and current.
• Provides coverage across clinic and administrative assignments, as required by business and operational needs.

FLSA: Nonexempt

Grade: 185

Salary Details

Minimum Salary: 28.470

Mid Range Salary: 28.970

Maximum Salary: 29.840

Offer Information: The final salary offer may be determined by several factors, including, but not limited to, the candidate's qualifications, experience, and expertise, and availability of department or grant funds to support the position. We also take into consideration market benchmarks, if and when appropriate, and internal equity to ensure fair compensation relative to the university's broader compensation structure. We are committed to offering competitive and flexible compensation packages to attract and retain top talent.

Benefits

Rutgers provides a comprehensive benefits package to eligible employees. The specific benefits vary based on the position and may include:

• Medical, prescription drug, and dental coverage
• Paid vacation, holidays, and various leave programs
• Competitive retirement benefits, including defined contribution plans and voluntary tax-deferred savings options
• Employee and dependent educational benefits (when applicable)
• Life insurance coverage
• Employee discount programs

Position Status: Full Time

Standard Hours: 35.00

Work Arrangement: This position requires a fully on-site work arrangement.

Union Description: Teamsters 97

Payroll Designation: PeopleSoft

Terms of Appointment: Staff - 12 month

Position Pension Eligibility: PERS

Qualifications

Minimum Education and Experience

• Three (3) years of progressively responsible clerical experience required, of which at least one (1) year must have been in a business setting involving billing and collection or medical insurance activities.
• Prior experience accessing and retrieving information from a computer database required.

Required Knowledge, Skills, and Abilities

• ICD9 and CPT coding knowledge required.
• Demonstrated proficiency with billing and collection software required.
• Demonstrated quantitative orientation and strong background in financial transactions and record keeping required.
• Ability to understand and follow oral and written instructions required.
• Ability to work in a stressful environment while maintaining a professional demeanor and maintain a high-level of customer service orientation required.

Preferred Qualifications

• Prior experience in a physician's office or medical setting preferred for clinic based assignments.
• Familiarity with medical terminology preferred.

Physical Demands and Work Environment

• Physical Demands: Standing, sitting, walking, talking and hearing. No special vision requirements. Lifting up to 25lbs.
• Work Environment: Office environment. Moderate noise.

Posting Details

Posting Number: 26ST1614

Regional Campus: Rutgers Biomedical and Health Sciences (RBHS)

Home Location Campus: Off Campus

City: New Brunswick

State: NJ

Pre-employment Screenings

All offers of employment are contingent upon successful completion of all pre-employment screenings.

Immunization Requirements

Under Policy 100.3.1 Immunization Policy for Covered Individuals, if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption. Additional infection control and safety policies may apply. Prospective employees should speak with their hiring manager to determine which policies apply to the role or position for which they are applying. Failure to provide proof of vaccination for any required vaccines or obtain a medical or religious exemption from the University will result in rescission of a candidate's offer of employment or disciplinary action up to and including termination.

Equal Employment Opportunity Statement

It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we encourage all qualified applicants to apply. For additional information please see the Non-Discrimination Statement at the following web address: http://uhr.rutgers.edu/non-discrimination-statement