Program Associate

Overview

Job Title:

Program Associate

Status:
Full-Time | Shift: Day | Facility: RWJ New Brunswick | Department:
Cancer Ctr-Admin | Pay Range: $17.52 - $24.79 per hour

Location:

165 Somerset Street, New Brunswick, NJ 08901

The Program Associate is responsible for serving as a liaison for patients with respect to financial and scheduling issues. The Program Associate will work collaboratively with all research and non-research staff to maintain a timely and organized flow of patients through the clinical research process, scheduling and insurance procedures. This role will focus on research patients, assuring that the patient s experience of the research subject is positive and progresses smoothly.

• Bachelor s degree in business or health-related field required

• Working Shift: Monday - Friday
• Day Shift
• Full-Time, 40 Hours Per Week

• Minimum of one year of experience in a medical office setting (physician office, hospital, clinic, health insurance company) required
• Knowledge of medical insurance benefit coverage assessment and processing required
• Knowledge of oncology medical terminology, Medicare, Medicaid, managed care, traditional insurance, CPT, ICD-10 coding, and computerized billing systems required
• Bilingual in Spanish strongly preferred
• Healthcare office environment
• Interrelationships with patients, staff, vendors, visitors, physicians

• Maintains a timely and organized flow of patients through the clinical research process as it relates to insurance and billing procedures:
  Coordinates outpatient procedures for patients enrolled in clinical research studies
• Meets with all patients at the time of signing consent to ensure all insurance information is gathered, and a determination is made regarding their benefit eligibility and out-of-pocket expenses
• Conducts first patient study visits to determine whether charge integrity and distribution is accurate
• Assists patients in facilitating the processing of applications for Medicare, charity care, and/or specialty pharmacy benefits
• Collaborates with Chamberlin Edmonds & Associates representatives to investigate the self-pay population and to offer assistance with SSI, SSD, and Medicaid programs
• Assists the provider with completing all requisitions and paperwork
• Maintains a log of patients referred for evaluation and financial clearance in appropriate systems
• Performs various front office procedures:
  Schedules patient appointments, including outside physician, hospital, and ancillary services
• Identifies and resolves registration discrepancies
• Coordinates with the finance department to assign 499 accounts and NCT numbers for appropriate charge capture
• Coordinates the provision of home care services
• Obtains authorizations and places orders
• Ensures appropriate paperwork is submitted to Patient Admitting for research procedures and billing labels are available for patient visit
• Files all appropriate correspondence and patient-related information
• Prepares and handles incoming and outgoing mail
• Coordinates the receipt of patient medical records
• Coordinates the admission of research patients and ensures proper billing
• Verifies patient insurance benefits and obtains authorizations as needed for services to be provided
• Maintains and locates an approved insurance carrier list for each physician and practice
• Obtains authorizations for outpatient treatment and diagnostic studies
• Obtains gap exceptions for patients with non-participating insurance
• Assists with research billing procedures and forms as directed
• Coordinates charge capture and billing issues as it relates to research procedures
• Reviews billing plans with patients prior to enrollment
• Queries research team to clarify, reconcile, and complete charge issues
• Resolves billing questions and queries using internal billing and patient systems
• Works closely with investigators and research teams to resolve patient billing errors and other study-related charges
• Ensures clinical research processes are patient centered
• Actively contributes to creating a friendly, welcoming, and safe environment
• Treats patients and visitors in a caring and professional manner
• Drives collaboration…