Recruitment/Posting Title Billing Technician/ Precert Job Category Staff & Executive - Administrative & Support Department RHG-RWJ Surgery Clinic 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 five centers and institutes that focus on cancer treatment and research, neuroscience, 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—at Rutgers University–New Brunswick, including Piscataway; and at locations in Newark, Scotch Plains, Somerset, Stratford, and other locations. Clinical partners include Robert Wood Johnson University Hospital in New Brunswick, Newark’s 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 Billing Tech/Precert for the Surgery Clinic at the Robert Wood Johnson Medical School.

The primary purpose of this position is to provide procedure pre-certification services for the Department of Surgery/Dermatology POD at the Rutgers Robert Wood Johnson Medical School. This entails providing patient information to insurance companies to support procedures requested by Department of Medicine physicians. Heavy telephone volume. Confidentiality and the ability to work independently are critical to the success of this assignment. 

Among the key duties of this position are the following: Monitors scheduled procedures and maintains organized list with status of pre-certification process.  Verifies insurance eligibility and benefits via phone and/or internet access. Updates insurance policy information, as required.  Checks insurance payment policy for scheduled procedures and obtains prior authorization when required.   Verifies receipt of all necessary pre-authorization documents prior to procedure.  Communicates effectively and updates EMR with all actions taken during precertification process.  Assigns appropriate ICD9 and CPT codes pre-operatively based on documentation and booking slips.   Notifies primary care physician for managed care plans that require PCP authorization.  Position Status Full Time Hours Per Week Daily Work Shift Rotating Work Arrangement This position requires a fully on-site work arrangement. FLSA Nonexempt Grade 185 Position Salary Annual Minimum Salary 51896.00 Annual Mid Range Salary 52936.00 Annual Maximum Salary 54516.80 Standard Hours 40.00 Union Description Teamsters 97 Payroll Designation PeopleSoft Benefits Rutgers offers a comprehensive benefit program to eligible employees. For details, please go to http://uhr.rutgers.edu/benefits/benefits-overview.



Seniority Unit Terms of Appointment Staff - 12 month Position Pension Eligibility PERS