Research Billing Coordinator, Remote

UofL Health•Work from Home - KY, KY

3d•Remote

About The Position

The Research Billing Coordinator reviews clinical research patient accounts against clinical trial protocols, contracts, consent forms, and medical records to ensure study-related items and services are billed appropriately. The role works with registration, coding, billing, revenue cycle, researchers, and external providers to identify research patients, support accurate claims processing, resolve account inquiries, and coordinate monthly billing of study services to research programs. The coordinator reviews registrations, subject activity, encounters, charges, orders, and study documents; places accounts on hold for charge review and audit; removes research-related charges from insurance claims when appropriate; and prepares invoices for research services. The role also follows up on outstanding accounts receivable, supports compliance and resolution of billing errors, and may request or build research records in Epic, Cerner, or STAR. The position is remote, based in Kentucky, and is designated as first shift.

Requirements

At least two years of experience in healthcare finance or revenue cycle operations.
Equivalent work experience is acceptable in place of the preferred associate degree in Business.
Strong attention to detail and organizational skills.
Strong customer service focus and ability to move between tasks effectively.
Ability to follow through until issues are resolved.
Effective verbal and written communication skills.
Ability to read and understand clinical protocols, coverage analyses, national and local coverage determinations, contracts, budgets, consent forms, and related research documents, and use professional judgment to determine appropriate action.
Ability to present facts to help others understand a situation.
Proficiency in Microsoft Excel, Word, and Outlook, including use of tasks and reminders.
Commitment to confidentiality, professionalism, collaboration, and organizational safety standards.

Nice To Haves

Associate degree in Business.
Two or more years of clinical research experience.
Experience with medical terminology and/or medical coding.
Certified Clinical Research Professional (CCRP), Certified in Healthcare Research Compliance (CHRC), or Certified Professional Coder (CPC) certification.
Experience with Cerner, Epic, or STAR; training is provided as needed.

Responsibilities

Review daily reports of research subject registrations and activity, match them to patient encounters, and place holds for charge review and audit.
Review patient charges and orders, coverage analyses, protocols, consent forms, and budgets to determine which items should be removed from carrier claims.
Coordinate with researchers and patient accounting/revenue cycle teams to identify research encounters and ensure appropriate condition codes and NCT numbers are provided for insurance claims.
Remove research-related charges from claims and queue them for billing to researchers.
Work with revenue cycle teams, clinical researchers, and external providers to establish communications and processes for identifying services provided to research patients and resolving inquiries.
Convert charge information into invoices for research services and bill research programs when applicable; follow up on outstanding accounts receivable.
Work through identified billing errors to full resolution and communicate with clinical research teams as needed.
Request or build research records in Epic, Cerner, or STAR as needed to support research billing.
Maintain compliance with company policies, procedures, standards of conduct, and HIPAA privacy and security requirements.
Perform other duties as assigned.
Maintain confidentiality, follow safety standards, collaborate with team members, and provide effective customer service to the broader healthcare community.