Fraud Detection Supervisor jobs in Somerset, NJ

Position Summary

This is a full-time position encompassing all aspects of data management and patient information systems to support the cancer screening program.

Essential Functions, Duties, and Responsibilities

• Understands the eligibility guidelines for the Cancer Education & Early Detection (CEED) program and performs responsibilities in accordance with these guidelines.
• Reviews the patient medical record in eCW, for patients referred for enrollment in the CEED program, and completes the CaST form.
• Enters patient biographical and medical data into the Med-IT and Prostate/Colorectal databases in an accurate and timely manner.
• Reviews and maintains the data files, for accuracy and completeness, on a weekly basis.
• Participates in weekly CEED staff meetings and reports on status of activities.
• Collaborates with CEED program staff to send monthly patient reminder letters.
• Assists with patient follow-up to ensure completed cancer screenings.
• Assists with submission of data to the NJCEED program, as required in the grant guidelines.
• Assists in data to support reporting requirements from all grantors.
• Assists in reviewing bills received from contractors (sub-grantees) for services provided.
• Assists in submission of monthly invoices and bills to Program Coordinator for review and submits to Dover Finance Manager for payment and recording, in an accurate and timely manner.
• Assists in maintaining an organized billing system.
• Assists in auditing monthly lab reports; create and submit monthly CEED internal lab invoice of services provided, for CEED Program Coordinator review prior to submitting to Dover Finance Manager.
• Participates in CEED Outreach and Education planning and programs when needed.
• Participates in Regional Chronic Disease and Cancer Coalition (RCDC) meetings and programs when needed.
• Participates in CEED staff training and meetings when needed.
• Performs other duties as assigned

Knowledge, Skills, and Abilities

• Excellent knowledge of computer software (Word, Excel, Access)
• Experience in eCW or other related EHR systems
• Bilingual in English and Spanish required
• Knowledge of medical terminology
• Strong typing, organizational skills, and attention to detail.
• Ability to perform essential job duties
• Knowledge of state and federal guidelines for grant administration and grant reporting forms a plus.
• Learn and apply the trauma informed care principles with the scope of the position

Education, Training, and Experience

• High School diploma
• Certificates in business, computer science, or information systems is a plus

Job Type: Full-time

Pay: $22.00 - $25.50 per hour

Expected hours: 40 per week

Benefits:

• 403(b)
• 403(b) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Patient demographics:

• Adults
• Children
• Older adults

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Language:

• Spanish (Required)

Ability to Commute:

• Somerville, NJ 08876 (Required)

Ability to Relocate:

• Somerville, NJ 08876: Relocate before starting work (Required)

Work Location: In person