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Precert Coordinator – Avenel

University Orthopaedic Assocates, LLC is a leading orthopaedic practice which provides a full spectrum of orthopaedic care. Our board certified surgeons, each subspecialty trained, offering the best care in sports, medicine, arthroscopic surgery, joint replacement, traumatology, hand and upper extremity surgery, foot and ankle surgery and surgery of the spine.

We have an exciting opportunity for you to join our Avenel Team as a full-time Pre-Certification Coordinator. This self-motivated individual would be responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers.

Responsibilities, but not limited to:

  • Review chart documentation to ensure patient meets medical policy guidelines
  • Prioritize incoming authorization requests according to urgency
  • Obtain authorization via payer website or by phone and follow up regularly on pending cases
  • Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations
  • Initiate appeals for denied authorizations
  • Respond to clinic questions regarding payer medical policy guidelines
  • Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
  • Contact patients to discuss authorization status
  • Other duties as assigned
  • Knowledge of procedure authorization and its direct impact on the practice’s revenue cycle
  • Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
  • Basic understanding of human anatomy
  • Proficient use of CPT and ICD-10 codes
  • Excellent computer skills including Excel, Word, and Internet use
  • Detail oriented with above average organizational skills
  • Plans and prioritizes to meet deadlines
  • Excellent customer service skills; communicates clearly and effectively
  • Ability to multitask and remain focused while managing a high-volume, time-sensitive workload

Education/Experience Required:

  • High School Diploma or GED
  • 2 years medical prior authorization experience (preferred)
  • 2 years experience in a medical related field (preferred)

Patient Coordinator – Somerset

University Orthopaedic Associates, LLC is a leading orthopedic practice which provides a full spectrum of orthopedic care. Our board certified surgeons each with sub specialty training offer the best care in sports medicine, arthroscopic surgery, joint replacement, traumatology, hand and upper extremity surgery, foot and ankle surgery and surgery of the spine.

We have an exciting opportunity to join our team in our Somerset Office as a Full-Time Patient Coordinator.

To qualify, candidates must have:

  • High School Diploma
  • A minimum of (3) years of previous experience in a hospital or physician office setting
  • Knowledge of managed care referral/pre-certification procedures
  • Medical, orthopedic terminology a plus
  • Experience working with confidential patient records and EMR systems

Key duties include but are not limited to:

  • Schedule appointments based on company policies and procedures. This is a very detailed process. Candidate will be required to proofread and maintain accuracy at all levels of the appointment process
  • Verify patient’s Insurance benefit, eligibility and referral process
  • Scanning documents into patient chart through Phoenix EMR.
  • Faxing documents as needed
  • Accessing documents from several hospital systems
  • Confirmation of appointments
  • Greeting patients upon their arrival. Guide new patients (NP) through the registration process, ensuring all new patient packets are completed in their entirety, signed and initialed where required, and that copies of insurance cards and picture ID’s are scanned correctly in the EMR. Review all insurance and demographic information with returning patients and enter all changes in system. Yearly renewal of HIPAA and abbreviated intake sheet is required of all patients.
  • Posting charges, collecting co-pays, close and reconcile at the close of each day.

Medical Insurance Representative

University Orthopaedic Associates, LLC is a leading orthopedic practice which provides a full spectrum of orthopedic care. Our board certified surgeons each with sub specialty training offer the best care in sports medicine, arthroscopic surgery, joint replacement, traumatology, hand and upper extremity surgery, foot and ankle surgery and surgery of the spine.

We have an exciting full time opportunity to join our team in our Somerset office as an experienced Orthopedic Insurance Representative. To qualify, you must have a High School Diploma or equivalent. Candidates must also have a minimum of two (2) to three (3) years of previous experience with billing and coding. Orthopedic experience is strongly preferred. Proficient medical terminology is required, orthopedic and or physical/occupational therapy a plus. Bilingual is a plus.

We are looking for a dynamic individual with experience in billing, coding and accounts receivable. This position will be responsible for posting payments to patient accounts and handling the billing & collections for our orthopedic surgeons. Within this position, the successful candidate will be expected to review accounts for proper charge posting, manage claim edits, correct claims adjustments, post payments, handle patient questions/concerns in regards to their accounts and work the physician A/R.

Overview of Position Responsibilities:

  • Strong working knowledge of computer systems, with experience in windows-based systems and Microsoft Office
  • Experience with medical practice billing software required
  • Knowledge of CPT and ICD-10 coding and electronic billing required
  • Ability to Multitask and Detail oriented
  • Ability to answer phone calls and address patient account inquiries, calculate adjustments, insurance percentages for coinsurance, etc.
  • Prioritize delinquent accounts for review
  • Understand insurance benefits coverage as well as verify insurance eligibility and coverage for patients when applicable
  • Knowledge of Stop Losses
  • Establish financial agreements and payment plans when required
  • Schedule patient appointments as needed
  • Allscripts PRO PM/ Phoenix EMR system experience (a plus)

Part-Time PT/ OT Rehabilitation Patient Coordinator

University Orthopaedic Associates is a leading orthopedic practice which provides a full spectrum of orthopaedic care. Our board certified surgeons, each subspecialty trained, offering the best care in sports medicine, arthroscopic surgery, joint replacement, traumatology, hand and upper extremity surgery, foot and ankle surgery and surgery of the spine.

We have an exciting opportunity available for you to join our team as a Part-Time PT/ OT Rehabilitation Patient Coordinator in our Wall office.  In this highly visible role, you will be interacting with patients, families and health care providers.

Position Requirements:

  • High School Diploma or equivalent
  • A minimum of two (2) years experience in a hospital or physician billing system(required)
  • Knowledge of healthcare and medical practice protocols related to scheduling appointments and managed care referral/ pre-certification procedures
  • Medical, physical and occupational therapy terminology is required (orthopaedic a plus)
  • Excellent computer skills including MS Word, Outlook, Excel, and Internet use
  • Ability to communicate effectively with physicians/ clinicians about scheduling preferences

The successful candidate will be responsible to maintain records, physician orders, and obtain pertinent demographic information. The candidate will also be responsible for posting charges, close with reconciliation of the day, and scheduling appointments based on company policies and procedures.

Excellent communication skills, writing and interpersonal skills are required. Bilingual is a benefit.

Physical Therapist – Somerset/ Woodbridge Location

University Orthopaedic Associates, LLC is a leading orthopedic practice which provides a full spectrum of orthopedic care. Our board certified surgeons each subspecialty trained offer the best care in sports medicine, arthroscopic surgery, joint replacement, traumatology, hand and upper extremity surgery, foot and ankle surgery and surgery of the spine.

We have an exciting full-time opportunity to join our Center for Rehabilitation and Sports Excellence Team in a Physical Therapist role.  The qualified candidate should have one (1) or more years of experience to be considered for the open position at our Somerset facility with potential coverage at our new Woodbridge location.

We are seeking a professional individual of high character, a great work ethic with flexibility in scheduling and a willingness to learn with a commitment to excellence.

In this full-time position you would be required to work rotating evenings with alternating day scheduling.  Also candidates must have a valid New Jersey Physical Therapy License and a Master’s or Doctorate Degree from an accredited University.

University Orthopaedic Associates offers a competitive salary and a generous benefit package.

PT/ OT Rehabilitation Patient Coordinator - Woodbridge

University Orthopaedic Associates is a leading orthopedic practice which provides a full spectrum of orthopaedic care. Our board certified surgeons, each subspecialty trained, offering the best care in sports medicine, arthroscopic surgery, joint replacement, traumatology, hand and upper extremity surgery, foot and ankle surgery and surgery of the spine.

We have an exciting opportunity available for you to join our team as a full-time PT/ OT Rehabilitation Patient Coordinator in our new Woodbridge office. In this highly visible role, you will be interacting with patients, families and health care providers.

Position Requirements:

  • High School Diploma or equivalent
  • A minimum of two (2) years experience in a hospital or physician billing system (required)
  • Knowledge of healthcare and medical practice protocols related to scheduling appointments and managed care referral/ pre-certification procedures
  • Medical, physical and occupational therapy terminology is required (orthopaedic a plus)
  • Excellent computer skills including MS Word, Outlook, Excel, and Internet use
  • Ability to communicate effectively with physicians/ clinicians about scheduling preferences

The successful candidate will be responsible to maintain records, physician orders, and obtain pertinent demographic information. The candidate will also be responsible for posting charges, close with reconciliation of the day, and scheduling appointments based on company policies and procedures.
Excellent communication skills, writing and interpersonal skills are required. Bilingual is a plus.

Pre-Certification Coordinator - Somerset

University Orthopaedic Assocates, LLC is a leading orthopaedic practice which provides a full spectrum of orthopaedic care.  Our board certified surgeons, each subspecialty trained, offering the best care in sports, medicine, arthroscopic surgery, joint replacement, traumatology, hand and upper extremity surgery, foot and ankle surgery and surgery of the spine. 

We have an exciting opportunity for you to join our Somerset team as a full-time Pre-Certification Coordinator.  This self-motivated candidate would be responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers. 

Responsibilities: 

  • Review chart documentation to ensure patient meets medical policy guidelines 
  • Prioritize incoming authorization requests according to urgency 
  • Obtain authorization via payer website or by phone and follow up regularly on pending cases 
  • Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations 
  • Initiate appeals for denied authorizations 
  • Respond to clinic questions regarding payer medical policy guidelines 
  • Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order 
  • Contact patients to discuss authorization status 
  • Other duties as assigned 
  • Knowledge of procedure authorization and its direct impact on the practice’s revenue cycle 
  • Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively 
  • Basic understanding of human anatomy
  • Proficient use of CPT and ICD-10 codes 
  • Excellent computer skills including Excel, Word, and Internet use 
  • Detail oriented with above average organizational skills 
  • Plans and prioritizes to meet deadlines 
  • Excellent customer service skills; communicates clearly and effectively 
  • Ability to multitask and remain focused while managing a high-volume, time-sensitive workload 

Education/Experience Required: 

  • High School Diploma or GED 
  • 2 years medical prior authorization experience (preferred) 
  • 2 years experience in a medical related field (preferred)

Wall Patient Coordinator

University Orthopaedic Associates, LLC is a leading orthopedic practice which provides a full spectrum of orthopedic care. Our board certified surgeons each with sub specialty training offer the best care in sports medicine, arthroscopic surgery, joint replacement, traumatology, hand and upper extremity surgery, foot and ankle surgery and surgery of the spine.

We have an exciting opportunity to join our team in our Wall Office as a Full-Time Patient Coordinator.

To qualify, candidates must have:

  • High School Diploma
  • A minimum of (3) years of previous experience in a hospital or physician office setting
  • Knowledge of managed care referral/pre-certification procedures
  • Medical, orthopedic terminology a plus
  • Experience working with confidential patient records and EMR systems

Key duties include but are not limited to:

  • Schedule appointments based on company policies and procedures. This is a very detailed process. Candidate will be required to proofread and maintain accuracy at all levels of the appointment process
  • Verify patient’s Insurance benefit, eligibility and referral process
  • Scanning documents into patient chart through Phoenix EMR.
  • Faxing documents as needed
  • Accessing documents from several hospital systems
  • Confirmation of appointments
  • Greeting patients upon their arrival. Guide new patients (NP) through the registration process, ensuring all new patient packets are completed in their entirety, signed and initialed where required, and that copies of insurance cards and picture ID’s  are scanned correctly in the EMR. Review all insurance and demographic information with returning patients and enter all changes in system. Yearly renewal of HIPAA and abbreviated intake sheet is required of all patients.
  • Posting charges, collecting co-pays, close and reconcile at the close of each day.

In this highly visible role, you will be interacting with patients, families and health care providers. Excellent communication skills, writing and interpersonal skills are required. Must be able to multitask. Bilingual is a plus.

University Orthopaedic Associates, LLC (UOA) is an equal opportunity employer and does not discriminate against any applicant or employee because of race, color, religion, sex, national origin, disability, age or military or veteran status in accordance with federal law. In addition, UOA complies with applicable state and local laws governing non-discrimination in employment in every jurisdiction in which it maintains facilities. UOA also provides reasonable accommodation to qualified individuals with disabilities in accordance with applicable laws.

Qualified minorities and/or women are encouraged to apply.

Download Our Employment Application

Interested candidates should forward their resume to Catharine Falcetano at catharinef@uognj.com or fax it to 732-564-9034.

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