Program Associate jobs in United States
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RWJBarnabas Health · 6 hours ago

Program Associate

RWJBarnabas Health is a premier health care destination providing patient-centered, high-quality academic medicine. The Program Associate is responsible for serving as a liaison for patients regarding financial and scheduling issues, ensuring a smooth clinical research process.

DiabetesHealth CareNeuroscienceOutpatient CareRehabilitation

Responsibilities

Serves as a liaison for patients with respect to financial and scheduling issues
Works 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
Focuses on research patients, assuring that the patient's experience of the research subject is positive and progresses smoothly
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 with clinical staff, including physicians
Continuously displays role-model behaviors to contribute to the company's core values
Maintains professional composure and confidence during stressful situations
Completes all delegated tasks including, but not limited to orienting and training new team members, attending training programs, modules, workshops, etc. as appropriate, and working collaboratively with all team members to ensure that services are coordinated and delivered to patients

Qualification

Medical office experienceMedical insurance knowledgeOncology terminologyCPTICD-10 codingBilingual in SpanishPatient interactionCollaboration skillsOrganizational skills

Required

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

Preferred

Bilingual in Spanish strongly preferred

Benefits

Paid Time Off including Vacation, Holidays, and Sick Time
Retirement Plans
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Disability and Life Insurance
Paid Parental Leave
Tuition Reimbursement
Student Loan Planning Support
Flexible Spending Accounts
Wellness Programs
Voluntary Benefits (e.g., Pet Insurance)
Community and Volunteer Opportunities
Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon
Paid Time Off (PTO)
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Retirement Plans
Short & Long Term Disability
Life & Accidental Death Insurance
Tuition Reimbursement
Health Care/Dependent Care Flexible Spending Accounts
Wellness Programs
Voluntary Benefits (e.g., Pet Insurance)
Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Company

RWJBarnabas Health

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RWJBarnabas Health is New Jersey’s largest and most comprehensive academic health system, caring for more than 5 million people annually.

Funding

Current Stage
Late Stage
Total Funding
$0.23M
Key Investors
New Jersey Food Security Initiative
2024-07-02Grant· $0.23M

Leadership Team

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Anthony Cava
President and CEO
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Jordan Ruch
Chief Technology Officer
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Company data provided by crunchbase