Billing Specialist

FOURANS LLC - 4.7

Columbus, OH Job Details Full-time | Contract $34 an hour 13 hours ago Benefits Health insurance 401(k) Qualifications Medical claims processing Medicare Clinical research protocol review Charge capture (medical billing) Attention to detail Certified Coding Specialist Medical record abstraction Epic Healthcare coding investigations Hospital experience

Full Job Description Schedule:

Full-Time, Monday-Friday, Days Work Arrangement:

Hybrid - Onsite Monday, Tuesday & Thursday;

Remote Wednesday & Friday Typical Hours:

Approximately 8:00 AM-5:00 PM, with some flexibility in start time

Contract Length:

Approximately 13 weeks / 3 months

Extension:

Candidates should expect the assignment to end after the initial contract. There is a small possibility of extension based on business need, but extension is not guaranteed.

Equipment:

Equipment will be provided for remote workdays. Position Overview The Revenue Cycle Specialist will support the Clinical Research Finance & Compliance team with a focus on clinical trial patient billing and revenue-cycle activities. This contractor is being added to assist with an existing billing backlog and will be responsible for reviewing clinical trial patient charges to determine whether charges should remain on the patient account or be moved to the appropriate research/study account. This position requires someone who can independently review medical records, clinical trial documentation, billing information, CPT codes, and treatment activity and understand how those components translate into appropriate billing. This is not a traditional coding-only position. The strongest candidates will have hands-on experience working with medical bills, hospital billing, clinical research billing, revenue cycle, or related coding/billing functions and be comfortable interpreting clinical documentation. Key Responsibilities Review patient bills and claims associated with clinical trial participants. Determine which charges should remain on the patient's bill and which research-specific charges should be moved to the appropriate study/research account. Review patient charts and clinical documentation to validate that charges correspond with services and treatments performed. Review clinical trial protocols and Medicare Coverage Analyses to determine appropriate billing treatment. Apply Medicare Q0/Q1 research coding to routine-care charges when applicable. Utilize knowledge of CPT codes, medical billing, clinical procedures, and treatment workflows when evaluating charges. Work within the medical record system and clinical trials management system to review and maintain research billing information. Enter and maintain Medicare Coverage Analysis information within the clinical trials management system. Assist with maintaining research timelines within the medical record system. Review historical billing compliance for clinical trial patients as part of audits when needed. Assist with research chargemaster maintenance by reviewing actual CPT codes ordered/charged and comparing them with codes used in research budgets. Identify billing discrepancies and make recommendations for appropriate corrections or updates. Partner with Clinical Research Finance & Compliance, Clinical Trials Office staff, research coordinators, nursing program coordinators, Principal Investigators, and the Research Billing Office. Assist with system-related issues, testing system updates, process improvements, and other projects as assigned. Work independently while applying sound judgment based on medical record documentation, research protocols, Medicare requirements, and standard clinical procedures. Support the team in reducing the existing billing backlog and improving overall turnaround time. Required Qualifications Candidates should have 2+ years of relevant healthcare experience with meaningful exposure to medical billing, hospital billing, clinical research, revenue cycle, coding, or a closely related function.

Candidates should also have:

Hands-on experience reviewing medical bills, claims, charges, or coding information. Working knowledge of medical billing and the relationship between clinical services, procedures, codes, and resulting charges. Familiarity with CPT codes and medical coding concepts. Ability to review and interpret patient charts and clinical documentation. Strong analytical skills and attention to detail. Ability to independently investigate discrepancies and make decisions based on available clinical and billing documentation. Comfort working across multiple systems and reviewing detailed reports/work queues. Ability to work effectively in a hybrid environment and report onsite in Columbus three days per week. The strongest candidates will have one or more of the following: Clinical trial billing or research billing experience Oncology/cancer-related billing or clinical experience Experience reviewing Medicare Coverage Analyses Knowledge of Medicare research billing requirements, including Q0/Q1 modifiers/coding Epic experience, particularly reviewing patient charts, charges, claims, or revenue-cycle work queues Hospital or health-system revenue-cycle experience Medical billing/coding experience Experience with CPT codes and chargemaster concepts Clinical background such as LPN or RN, particularly candidates who understand treatment workflows and can connect clinical activity with billing output Revenue-cycle experience involving pre-certification, billing review, or denials Coding certification such as CCS or similar; certification is preferred but not required

Pay:

$34.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) Health insurance

Work Location:

In person