Revenue Cycle Research Billing Analyst
- Req #: 8760
- Address: 2100 Sherman Ave
- City, State: Norwood, OH
- Zip: 45212
- Type: Full time
- Shift: Day
Job Description
Provides financial administrative and subject matter support for research at TCHHN from study intake and initiation through study closure. The primary role is to ensure accurate billing for clinical trial participants in accordance with federal regulations to maintain institutional compliance and reduce financial and legal risk. Coordinates and administers the research finance and billing responsibilities for sponsored and federally funded trials. Ensures compliance with research and regulatory policies and procedures related to Medicare Coverage Analysis.
Responsibilities
Qualifications
EDUCATION: Bachelor's degree in related field. 2-4 years related research, coding or medical billing experience.
YEARS OF EXPERIENCE: Minimum of three years related research, coding, or medical billing experience
REQUIRED SKILLS AND KNOWLEDGE: Strong knowledge of clinical research revenue cycle processes. Working knowledge of CPT coding and charging, ICD10 codes, medical terminology, billing rules, and CMS regulatory requirements for research billing. Ability to collaborate with a variety of departments and staff. Ability to prioritize and multitask. Experienced in Epic, MS Excel, and MS Word.
Provides financial administrative and subject matter support for research at TCHHN from study intake and initiation through study closure. The primary role is to ensure accurate billing for clinical trial participants in accordance with federal regulations to maintain institutional compliance and reduce financial and legal risk. Coordinates and administers the research finance and billing responsibilities for sponsored and federally funded trials. Ensures compliance with research and regulatory policies and procedures related to Medicare Coverage Analysis.
Responsibilities
- Monitors charge capture, collaborating with clinicians and revenue cycle staff to confirm captured charges for research activities are accurate, timely, and agree with Medicare Coverage Analysis, sponsor budget, applicable billing rules, and approved fee schedules and /or price lists.
- Builds and updates study records, collaborating with Billing, Patient Access, Charge Master, and Coding to ensure patients are accurately identified as study participants.
- Acts as an escalated resource for revenue cycle business office staff to resolve billing questions about charges that should be billed directly to study participants or their insurers.
- Primary point of contact for non-Lindner research studies for price quotes, IRB approval, coordination with Revenue Cycle and Finance departments, and Epic Research study build.
- Responsible for achieving and/or maintaining key performance indices for service (for example; keeping Epic billing queue and/or Accounts Receivable within department standards).
- Analyzes and provides recommendations in Medicare Coverage Analysis on clinical trials to determine qualifying status and billable events. Assists in tracking and confirming annual renewals and protocol amendments
- Keeps abreast and knowledgeable of current healthcare regulations relating to clinical research and Epic changes.
- Other duties as assigned
Qualifications
EDUCATION: Bachelor's degree in related field. 2-4 years related research, coding or medical billing experience.
YEARS OF EXPERIENCE: Minimum of three years related research, coding, or medical billing experience
REQUIRED SKILLS AND KNOWLEDGE: Strong knowledge of clinical research revenue cycle processes. Working knowledge of CPT coding and charging, ICD10 codes, medical terminology, billing rules, and CMS regulatory requirements for research billing. Ability to collaborate with a variety of departments and staff. Ability to prioritize and multitask. Experienced in Epic, MS Excel, and MS Word.
