This position supports the research program in management post-award financial activities for research projects conducted for large community based hospital system. The primary function of the Research Billing Specialist is to review all research patient care items and services against a Medicare Coverage Analysis (MCA) and to separate the charges by the applicable payor type.
PRIMARY DUTIES AND RESPONSIBILITIES:
Responsible for interpreting and applying the MCA to patient billing review.
Responsible for working with Patient Access, the Business Office and the Accounting and Finance Department to ensure that all research charges are identified and track patient visits dates via the Clinical Trial Management System (CTMS) or multiple practice Electronic Medical Records.
Refer to study documents, such as the MCA, study protocol, informed consent form, Clinical Trial Agreement (CTA) and budget to review new research patient accounts for patient care charges associated with each clinical research project on a regular basis.
REQUIREMENTS:
Understanding of Medicare Coverage Analysis (MCA)
Demonstrated experience in post award financial activities related to research projects.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
Actalent is an equal opportunity employer.
About Actalent
Actalent connects passion with purpose. We help visionary companies advance their engineering and science initiatives through access to specialized experts that drive scale, innovation, and speed to market. With a network of almost 30,000 engineering and sciences consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. An operating company of Allegis Group, the global leader in talent solutions, Actalent launched as a new specialized engineering and sciences services and workforce solutions brand in 2021.