Billing Tech/Precert

Details

Posted: Unknown

Location:

Salary:

Summary:

Summary here.

Details

Posted: 18-Jan-26

Location: New Brunswick, New Jersey

Categories:

Administrative/Support
Staff/Administrative

Internal Number: 250044

Position Summary:

Rutgers, The State University of New Jersey, is seeking a Billing Tech/Precert for the department of Medicine at the Robert Wood Johnson Medical School.
The primary purpose of this position is to provide procedure pre-certification services for a department at the Rutgers Robert Wood Johnson Medical School. This entails providing patient information to insurance companies to support procedures requested by department 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.

Minimum Education and Experience:

• Four (4) years of general office/billing experience, three (3) years of which shall have been in a physician, hospital or health center billing setting, including management of various types of insurance billing processes.
• Experience in accessing and retrieving information from a computer database.

City: New Brunswick

State: NJ

Physical Demands and Work Environment:

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

Posting Number: 25ST0948

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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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