Research Billing Compliance Coordinator - Intermediate

UT Health San Antonio•San Antonio, TX

About The Position

Under general supervision, the Research Billing Compliance Coordinator reviews and routes research charges to the appropriate billing entity and ensures that billing activities are accurate and appropriate. The role is responsible for research billing compliance in accordance with study coverage analysis, applicable billing regulations, and local policies and procedures. It also includes reviewing and auditing research billing data, processing charges accurately and on time, and resolving billing and adjustment errors. The University of Texas at San Antonio is a public research university with approximately 42,000 students and 17,000 faculty and staff. The posting describes UT Health San Antonio’s employee benefits, available to employees working at least 20 hours per week with an appointment of at least 4.5 months. Benefits include medical, dental, vision, disability, life and accidental death and dismemberment insurance; flexible spending accounts; retirement plans; paid time off, extended illness leave, paid family leave, and holidays; and discounts on services, tickets, and gym membership.

Requirements

Bachelor’s degree in a related field.
Three years of related experience.
Knowledge and understanding of research and/or clinical and billing regulations affecting clinical trials and medical research, such as NCD 310.1.
Extensive experience with the EPIC electronic medical record and demonstrated ability to use EPIC Systems.
Familiarity with hospital and professional billing.
Experience with Medicare Coverage Analysis, ICD-10, CPT codes, and research billing modifiers.
Knowledge of financial tracking systems, including accounting and Clinical Trial Management Systems (CTMS).
Self-motivated problem solver with strong analytical skills.
Ability to communicate effectively, verbally and in writing.
Ability to handle sensitive matters professionally and confidentially.
Proficiency with Microsoft Office, including strong working knowledge of Excel.
Knowledge of NCD 310.1 and Medicare Coverage Analysis.
Demonstrated ability to use Clinical Trial Management Systems (CTMS) applications.

Responsibilities

Review and route research charges to the appropriate billing entity.
Review billing activities in accordance with NCD 310.1, billing regulations, and local policies and procedures.
Ensure accurate and timely processing of research charges.
Evaluate and resolve billing and adjustment errors as required.
Maintain current understanding of research billing regulations and requirements.
Review and audit research billing data for accuracy.
Perform all other duties as assigned.

Benefits

UT SELECT medical insurance, offered free for employees, with options to add family members through payroll deduction.
Discounted copays and coinsurance when using UT Health Physicians.
$50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance at no cost; additional coverage is available for purchase.
Three dental insurance plan options through Delta Dental, including two PPO plans and one dental HMO plan.
Two vision plan options offering standard or enhanced vision benefits.
Disability insurance enrollment option for income protection in the event of a non-work-related illness or injury.
Flexible spending accounts for qualifying dependent care and out-of-pocket health care expenses.
Eligibility for the Teacher Retirement System (TRS) or, for eligible faculty and staff, the Optional Retirement Plan (ORP); voluntary retirement programs are also available.
Front-loaded paid time off of 128 to 208 hours annually, based on years of service, with possible proration in the first year.
Extended Illness Bank accrual of 8 hours per month, usable for illness or injury after one day of paid time off is taken.
Up to 240 hours (six weeks) of paid family leave after six months of consecutive employment.
Twelve paid holidays each year.
Discounts on services, tickets, and gym membership.