Clinical Research Billing Analyst - 111027
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#111027 Clinical Research Billing AnalystInitial Review Date: Thu 12/9/2021
For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy
UCSD Layoff from Career Appointment: Apply by 08/30/21 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 09/09/21. Eligible Special Selection clients should contact their Disability Counselor for assistance.
This position will remain open until filled.
The incumbent coordinates and executes the financial billing of clinical research. Responsible for compilation of statistical, fiscal and metric data as it relates to clinical research billing activities. Assists with clinical research billing special projects. Ensures timely invoicing, and monitoring of charges for government and sponsored research.
Assist the Clinical Research Billing Director with monthly clinical research accounts for financial reporting purposes to the Clinical Trials Office, to ensure accurate financial statements to investigators, business managers and other internal departments. Responsible to maintain clinical research accounts receivable statistics and metrics on an ongoing basis.Assist with clinical research financial projects, including, but not limited to rapid improvement events. Assists with ongoing review of internal processes to streamline or create new more efficient processes; assist in executing process changes and assist with overseeing to completion.
Assist with policies and procedures, both design and implementation, as they relate to compliance with laws, Medicare Coverage Analysis, National Coverage Decision, statutes and regulations dealing with clinical research billing issues. Interact with all levels of management and personnel to provide useful information, guidance and integrity to the clinical research finance activities. Maintain professional growth and development. Keeps abreast of latest trends in the area of reimbursement and other compliance related assignments.
Under general supervision, applies dashboards and processes for continuous analysis of revenue cycle functions of moderate scope and complexity. Audits data input for all components of revenue cycle management. Follows established UC San Diego and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality. Performs other related duties as assigned or requested.
Seven (7) years of related experience, education/training in finance, accounting, or clinical research compliance/billing, OR a Bachelor’s degree in related area plus three (3) years of related experience in finance, accounting, or clinical research compliance/billing.
Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
Required to have basic working knowledge of medical terminology, ICD-10 CPT, HCPCS, DRG, APC, FDA, Office of Human Research Protection (OHRP), revenue and charge master codes.
- Knowledge of Centers of Medicare and Medicaid (CMS) documentation and coding rules and guidelines; guidelines of private insurance payors; charge capture and reimbursement methodologies; CMS manuals; professional and/or hospital services reimbursement and repayment methodologies.
- Must be able to work various hours and locations based on business needs.
- Employment is subject to a criminal background check and pre-employment physical.
Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).
UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!
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