UNC Health · 5 hours ago
Research Billing Coverage Analysis Coordinator
United States
Full-time
Remote
Entry Level
$31.04/hr - $44.62/hr
1+ years expUNC Health is an inclusive organization with over 40,000 teammates dedicated to improving health and well-being in their communities. The Research Billing Coverage Analysis Coordinator will analyze clinical research services to ensure compliance with billing policies and collaborate with study teams to assess study readiness.
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Responsibilities
Review research protocols, sponsor agreements, informed consent forms and related documents
Analyze Medicare benefit policies, national and local coverage determinations, and review medical treatment guidelines related to study specific interventions and routine care
Create coverage analyses in accordance with Medicare's Clinical Trial Policy (NCD 310.1) and assist research staff within the clinical departments with the interpretation of related guidance and their effect on research billing processes
Applies the appropriate Hospital and/or CPT codes for potentially billable items in the coverage analysis to assist in the management of claims review, as well as identifying items that are to be billed to the sponsor via the budgeting and contract teams
Collaborate with the trial Principal Investigators and study team members to review any procedures that are not clear from the study documents and/or those representing a difference of coverage opinion
Work closely with the research team to conduct a thorough feasibility assessment using tools available
Assist in the creation of study budgets
Ensure that all treatment costs for clinical studies are included in the study budget and are appropriate and/or accurate
Assist audit and compliance departments during reviews and monitoring of clinical research billing
Provide clear documentation of the analysis that includes coverage determinations and supporting citations for the compliant and accurate categorization of all items and services
Serve as a liaison with the UNC Health Integrated Billing Office, identifying best practices and overseeing resolution of complex research billing issues
Work to resolve any billing questions from UNC Health Billing Office in a timely matter if a patient's record is on a bill hold
Other duties as assigned by management to meet business needs
Qualification
Required
Bachelor's degree or equivalent
With a Bachelor's degree, requires one (1) year of related experience
With an Associate's degree, requires five (5) years of related experience
Benefits
If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
Company
UNC Health
Our mission is to improve the health and well-being of North Carolinians and others whom we serve.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Chris Ellington
President UNC Health Care - Network Hospitals and EVP CFO UNC Hospitals at Chapel Hill
Jeff Lindsay
President and Chief Operating Officer
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