Revenue Cycle Specialist (Hybrid)

The Ohio State University

20d • Hybrid

About The Position

The Clinical Research Finance & Compliance (CRFC) Department is responsible for the accounting and analysis of key financials for all Oncology clinical trials; especially focusing on Revenue and Billing. Responsibilities across the group include revenue recognition and forecasting, project costing, negotiation of contract terms, monthly reconciliation and invoicing, coverage analysis, patient claim review, patient reimbursement, and assistance with internal audit requests. The department provides support to the Clinical Trials Office (CTO), Principal Investigators (PIs), and various Business Units across the Medical Center and College of Medicine.

Reporting to the Director of Clinical Research Finance & Compliance (CRFC), the Revenue Cycle Specialist’s role is focused on ensuring the proper billing for OSUCCC-James patients participating in clinical trials. The Revenue Cycle Specialist will be assigned a portfolio of clinical trials for which s/he will review patient bills in the medical record system to apply Medicare research coding when applicable and move research specific charges to the research account, assist in the maintenance of research timelines in the medical record system, and maintain the Medicare Coverage Analysis in the clinical trials management system. The work will be largely independent and require decision making based on understanding of medical record chart notes. Research Protocol, and standard clinical operating procedures. S/he may also facilitate random audits of research billing across Oncology trials, collaborate in the maintenance of our research chargemaster, and/or prepare basic Medicare Coverage Analyses. The Revenue Cycle Specialist will work closely with the CRFC Nursing Program Coordinators, the Clinical Trials Office (CTO) managers and coordinators, Principal Investigators (PIs), and OSU Medical Center Research Billing Office (RBO).

Requirements

• Licensed Practical Nurse (LPN) or Certified Medical Assistance (CMA) or BA/B.S. in Healthcare related Administration, or equivalent experience
• 2 or more years’ relevant experience working in healthcare or clinical research preferred
• Knowledge of medical billing or coding preferred

Nice To Haves

• 2 or more years’ relevant experience working in healthcare or clinical research
• Knowledge of medical billing or coding

Responsibilities

• Review patient bills in the medical record system to apply Medicare research coding when applicable and move research specific charges to the research account
• Assist in the maintenance of research timelines in the medical record system
• Maintain the Medicare Coverage Analysis in the clinical trials management system
• Facilitate random audits of research billing across Oncology trials
• Collaborate in the maintenance of our research chargemaster
• Prepare basic Medicare Coverage Analyses

Benefits

• Eligible Ohio State employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance for employees and their dependents, and state or alternative retirement options with competitive employer contributions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level