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Rutgers University logo

Rutgers University

Clinical Services Representative I

🇺🇸 New Brunswick, NJ

🕑 Full-Time

💰 $27 - $28 per Hour

💻 Operations

🗓️ June 26th, 2025

Edtech.com's Summary

Rutgers University is hiring a Clinical Services Representative I. The role involves managing third-party carrier prior authorization requests for tests, procedures, medications, and durable medical equipment, ensuring accuracy and compliance. The position includes administrative duties such as patient check-in, insurance verification, payment collection, and timely processing of work queue tasks to support efficient office operations in the Neurosurgery department at Robert Wood Johnson Medical School.

Highlights

  • Manage incoming prior authorization requests using portals, websites, and calls with timely compliance.
  • Review patient electronic medical records (EMR) for data accuracy to initiate prior authorization requests.
  • Communicate authorization outcomes and provide appeal or peer-to-peer contact information when necessary.
  • Provide patient check-in services, insurance verification, scheduling, and payment collection.
  • Perform financial functions such as pre-registration, administering HIPAA paperwork, obtaining referrals, and insurance verification.
  • Required skills include familiarity with medical terminology, strong customer service, and excellent communication and organizational abilities.
  • Must have at least three years of clerical experience with one year in medical billing and insurance pre-authorizations.
  • Hourly salary ranges from $26.68 to $28.00, with a maximum budgeted rate of $27.18 per hour.
  • Full-time position with a 40-hour workweek, requiring onsite presence.
  • Department: RWJ Neurosurgery at Robert Wood Johnson Medical School within Rutgers Biomedical and Health Sciences.

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