Surgical Representative

Rutgers University; New Brunswick (NJ); On-site; USD 32,000 - 33,000; Full time

Benefits offered by this job

Medical coverage

Vacation & leave

Retirement benefits

Educational benefits

Life insurance

Employee discounts

Job summary

Rutgers University, RBHS, in New Brunswick, NJ, seeks a Surgical Representative for the Department of Surgery at RWJ Medical School. The role serves as the primary staff liaison with surgery patients from initial physician recommendation through surgery, handling insurance guidelines and pre-authorizations to streamline procedures.

The position requires five years of clerical experience with medical terminology and ICD-10/CPT coding knowledge.

Qualifications

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

Responsibilities

• 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.
• 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.
• Informs prospective surgery patients of insurance coverage and their financial responsibility, and establishes payment plans as necessary.

Skills

Medical terminology

ICD-10 coding

CPT coding

Education

High school diploma or GED

Five years clerical support experience

Job description

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 Surgical Representative for the department of Surgery at the Robert Wood Johnson Medical School. Serves as primary staff liaison with all surgery patients from initial physician recommendation for surgery until surgery is completed. Provides financial planning and service to patient and physicians to facilitate the scheduling and performance of surgical procedures; provide support paperwork and documentation to patients and physicians; maintains awareness of various HMO’s, Commercial PPO’s, Medicare, Medicaid HMO’s, Workers Comp/No fault insurance carriers restrictions to assure all necessary criteria are met prior to surgery.

Duties

• 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.

FLSA

Nonexempt

Grade

202

Salary Details

Minimum Salary 31.530

Mid Range Salary 32.030

Maximum Salary 32.990

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

• 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

Working Hours

Standard Hours 40.00

Daily Work Shift

Day

Work Arrangement

This position requires a fully on-site work arrangement.

Union Description

Teamsters 97

Payroll Designation

PeopleSoft

Seniority Unit

Terms of Appointment

Staff - 12 month

Position Pension Eligibility

PERS

Qualifications

Minimum Education and Experience

• High school diploma or 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 required.

Certifications/Licenses

Required Knowledge, Skills, and Abilities

Preferred Qualifications

Equipment Utilized

Physical Demands and Work Environment

• Physical Demands: Standing, sitting, walking, talking or hearing. No special vision requirements. Ability to lift or exert up to 25 lbs.
• Work Environment: Office and Clinical environment. Moderate Noise.

Special Conditions

Posting Number

26ST1315

Posting Open Date

Posting Open Date

Special Instructions to Applicants

Special Instructions to Applicants

Regional Campus

Rutgers Biomedical and Health Sciences (RBHS)

Home Location Campus

Downtown New Brunswick

City

New Brunswick

State

NJ

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

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.

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: Non-Discrimination-Statement.

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Supplemental Questions

Required fields are indicated with an asterisk (*).

• * What is the highest level of education you have completed?
  • High School Diploma/GED
  • Associate's Degree
  • Bachelor's Degree
  • Master's Degree
  • Ph.D.
• * Do you have at least five years of experience performing a full range of clerical support services that includes medical terminology?
  • Yes
  • No

Required Documents

• Resume/CV

Optional Documents

• Cover Letter/Letter of Application