University of North Carolina Health Care, also known as UNC Health Care, is a nonprofit healthcare system based in Chapel Hill, North Carolina. It is owned by t
Research Billing Coverage Analysis Coordinator
Location
North Carolina
Posted
24 days ago
Salary
$31 - $44 / hour
Seniority
Senior
Job Description
Research Billing Coverage Analysis Coordinator
UNC Health Care
Title: Research Billing Coverage Analysis Coordinator Location: Chapel Hill United States Status: Full Time Shift: Day Job Job Description: Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Research Billing Coverage Analysis Coordinator will analyze protocol-driven clinical research services to ensure that both routine and research services are properly identified and billed in compliance with the Medicare Clinical Trial Policy, national and local laws and regulations, as well as institutional billing policies. The position will also meet with study teams to review the billing grid prior to study start up and collaborate with study teams to assess study readiness prior to activation. Under limited supervision, and with the latitude for initiative and independent judgment, performs, coordinates, and manages the creation and outsourcing of billing analysis in accordance with the Medicare Clinical Trial Policy, national and local laws, and regulations, as well as institutional billing policies. The BCA Analyst applies subject matter expertise to complex protocols. The documented analysis will serve as the basis for study budget creation and patient charge review once a research subject has completed corresponding visits at UNC Health facilities. The position will also meet with Principal Investigators/study teams to review the billing grid prior to study start up. These key research activities are a substantial part of the $1.3B UNC earns in Research activities across the University. This work impacts patients, faculty, staff, and all programs supported by these funds. Position is Monday - Friday Responsibilities: Clinical Research Protocol Review: 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. Consultation on Research Billing Designations: 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. Consultation on Study Budgets: 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. Document Preparation & Finalization: Provide clear documentation of the analysis that includes coverage determinations and supporting citations for the compliant and accurate categorization of all items and services. Healthcare Liaison: 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. Other Information Education Requirements: ● Bachelor's degree or equivalent. Licensure/Certification Requirements: Professional Experience Requirements: ● With a Bachelor's degree, requires one (1) year of related experience. ● With an Associate's degree, requires five (5) years of related experience. Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Office of Clinical Research Operations Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $31.04 - $44.62 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: Yes This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job
Related Guides
Related Categories
Related Job Pages
More Billing Specialist Jobs
Care Center Customer Service and Billing Specialist
Privia HealthA health management technology company, Privia Health is a national practice led by physicians. The company was founded in 2007 to provide physician groups with resources dedicated
Title: Care Center Customer Service & Billing Specialist Location: Remote United States Job Description: - Employees can work remotely - Full-time - Department: Customer/Member Experience Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description Must be available to work any 8 hour shift between the hours of 8am-6pm EST, remotely. The Sr. Care Center Support Billing Specialist supports our growing physician network. This person will assist customers with all questions around billing/claims resolution,via current email technology platforms and incoming calls. The role operates within a customer service oriented high-volume call center environment. Primary Job Duties - Responding to high volume inquiries via email/phone - Assist with triaging case volumes - Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance - Critically analyze a situation and escalate issues to the appropriate internal team; meticulously following up to ensure that the customer is served in a timely fashion - Identify issues that occur on a repeated basis and provide feedback to management - Act as a subject matter expert for all current and updated resources, ensuring to communicate updates to fellow team members and ensuring understanding - Provide support in team chat with questions from team members - Remain flexible to take on other duties as assigned Qualifications - High School Diploma preferred, advance certification a plus - Familiar with healthcare billing and claim resolution preferred - Experience with AthenaNet, Salesforce a plus - 2+ years of full time experience in a call center customer service environment - Familiarity using software such as Salesforce, Word, Excel, Web Browsers and cloud-based web applications - Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely The hourly range for this role is $21/hr to $23/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.
Veterans Billed Specialist - Veterans Evaluation Services
MaximusMaximus, founded in 1975 and formerly known as Policy Studies, is a leading American provider of health and human service programs. As an employer, Maximus has
Title: Veterans Billed Specialist (Remote) - Veterans Evaluation Services Location: United States Job Description: Working time Full-time Description & Requirements Maximus is currently hiring a Veterans Billed Specialist to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Veterans Billed Specialist is responsible for resolving billing issues related to diagnostic testing by ensuring facilities bill VES directly rather than the Veteran. When billing concerns arise and are routed through our call center, this role conducts outbound outreach to medical facilities to clarify billing requirements, coordinate reassignment of invoices to VES, and verify accounts are updated and closed appropriately. The specialist maintains a daily log of follow-ups, prioritizes cases based on urgency, and provides Veterans with confirmation of resolution, including zero-balance letters when applicable, delivering accurate, timely support throughout the process. Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity. Essential Duties and Responsibilities: - Update facility billing information. - Request claims and processing payment. - Ensure VES payments have been posted. - Confirm zero balances on patients’ accounts. - Mail zero balance letters to veterans and/or request a zero balance letter be mailed to the veteran from the facility. - Process payments to facilities according to Contracted rates. - Answer internal and external calls pertaining to claim status and billed veteran issues. - Maintain communication with facilities in regards to obtaining outstanding or current claims. Minimum Requirements - High School Diploma or GED required.- One to two years related experience in insurance or medical billing. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations Minimum Salary $ 18.00 Maximum Salary $ 24.64
Role Description As a Vendor Managed Inventory Specialist at Hajoca Corporation, you will: - Handle material replenishments, ensuring the replenishment queue is cleared each day and material is relocated as needed. - Work through daily, system driven cycle counts. - Diagnose and resolve any inventory discrepancies encountered while performing replenishments and cycle counts, verifying the appropriate documentation when necessary. - Work with team members to identify and correct process deviations through coaching and developing newer associates. - Identify and list materials to be credited to the customer, forwarding this information as required for processing. - Trace movements and identify errors in the put away or picking process when “missing” material is encountered. - Assist with customers at the Will Call Counter and consignment location inventories and operations as needed. - Perform general warehouse and receiving duties as needed. - Maintain a neat and orderly workspace. - Perform all job functions in accordance with the company’s Safety Standards. - Successfully complete required safety and compliance training programs as assigned. - Perform other reasonably related duties as assigned by immediate supervisor and other management as required. Qualifications - 1+ year of warehouse inventory handling experience. - Knowledge of products sold at the Profit Center preferred. Requirements - Outstanding customer service and communication skills. - Ability to quickly develop comprehensive knowledge of products sold at the Profit Center. - High level of attention to detail and accuracy. - Ability to build and maintain a positive working relationship with customers, vendors, and co-workers. - Proactive in researching and analyzing data to solve problems. - Strong organization and multi-tasking abilities with the capacity to manage multiple priorities and deadlines effectively. - Knowledge of and ability to apply safety precautions in a warehouse and material handling environment. - Ability to learn to safely operate a forklift and other material handling equipment in use at the Profit Center. - Ability to learn and operate the computer-related systems used for warehouse operations. - Read, write, speak, and understand English. - Ability to add, subtract, multiply, and divide, using whole numbers, common fractions, and decimals. Benefits - Competitive starting wage. - Profit-Sharing Program providing each team member with an opportunity to earn a direct share of the profits on an annual basis. - Full-time benefits (for team members working 30 or more hours per week): - Medical, dental, vision, and prescription coverage. - Accident, Hospital Indemnity, and critical care coverage. - Life insurance and Long Term Disability. - Pre-tax accounts for healthcare, dependent care, and commuter benefits. - Paid vacation, holidays, and sick time (sick time also offered to PT team members as required by state law). - Paid pregnancy and parental leave. - Paid day of community service. - Full-time and part-time benefits: - 401(k). - Retirement cash account with company contributions. - Targeted training programs focused on your personal and professional growth. - Company wellness program. - Employee discounts. - College tuition benefits.
Role Description An excellent career opportunity is currently available for an Immigration Billing Specialist in India. This exciting opportunity is in a high growth environment where you will utilize your experience to audit, enter and bill invoices on behalf of the immigration team. - Audits, enters, and bills invoices on behalf of the immigration team. - Audits invoices for accuracy against policy and to ensure all required billing information has been captured in the system accurately. - Uploads and sends invoices to internal teams for processing. Bills all related transactions in a timely manner. - Collaborates with internal departments to ensure accuracy, timely billing, and alignment with client or internal policies and processes. - Identifies problems, solutions and opportunities for improvement related to the billing process. - Administers client specific audit processes and ensures compliance with requirements. Qualifications - Bachelor’s degree in accounting/finance required - 3-5 years relevant billing and audit experience - Proficiency in Microsoft 365 - Knowledge of SAP or other relevant software is preferred - Experience working with multiple currencies - Strong attention to detail and analytical skills - Excellent organizational and communication abilities - Candidates should be flexible for any shift/working hours Requirements - Excellent customer service and administrative skills - Computer literacy with MS Office products, and ability to grasp proprietary software - Demonstrated ability to manage multiple competing tasks - Ability to follow policies and procedures - Can-do attitude - Genuine desire to help others - Team oriented mindset, with a strong sense of care and urgency - Desire to embrace our core values: Client Focus, Results, Responsibility & Accountability, Collaboration and Innovation. Benefits - An award-winning technology platform, built in-house, that aligns with the future state of Global Mobility - A strong Aires brand consistently ranked among the mobility industry's highest annual customer-satisfaction scores and a client retention rate of over 98% - A high internal promotion rate and a full benefits package including a 401K match - Remote work environment


