New Jersey Urology, LLC

Physician Assistant

• Perform patient care duties including organizing patient flow, assisting patients, collecting histories and specimens, performing screenings, assisting with procedures, charting, relaying instructions, and answering calls
• Handle clerical tasks including medical records, lab/X-ray reports, referrals, forms, scheduling, insurance verification, demographics, and chart management
• Set up instruments and equipment, clean exam/procedure rooms and equipment, maintain sterilizer records, order and restock supplies
• Respect and promote patient rights, respond to emergency codes, and report patient or staff problems to the immediate supervisor
• Perform clinical medical assisting duties according to state law, including asepsis, sterilization, vital signs, injections, minor surgery assistance, laboratory procedures, CLIA-waived testing, venipunctures, specimen handling, EKGs, triage, and first aid
• Perform other duties as assigned

Certified Medical Assistant

Operations

• Reconcile pharmacy claims between dispensing systems, PBM remittance files, adjudication systems, vendor reports, and financial records.
• Identify underpayments, overpayments, duplicate payments, reversals, and missing transactions.
• Investigate reimbursement discrepancies and perform root cause analyses.
• Validate claim payments against contractual reimbursement methodologies and payer agreements.
• Coordinate with PBMs, payers, pharmacies, and internal stakeholders to resolve payment discrepancies.
• Support recovery efforts for identified reimbursement variances and payment integrity opportunities.
• Develop, maintain, and distribute operational dashboards and reports related to pharmacy performance, prescription volume, payer mix, reimbursement trends, and key performance indicators.

Pharmacy Claims & Operations Specialist

• Fulfills patient care responsibilities as assigned
• Collecting patient history; performing screenings per provider guidelines
• Assisting physicians/nurses with various procedures; charting
• Fulfills clerical responsibilities as assigned that may include scheduling appointments; verifying insurance coverage
• Cleaning exam/procedure rooms, instruments, and equipment between patient visits to maintain infection control