Revenue Cycle Compliance Analyst - Research

Revenue Cycle Compliance Analyst - Research Summa Health - 3.5 Akron, OH Job Details Full-time $28.10 - $42.15 an hour 1 day ago Benefits AD&D insurance Disability insurance Health insurance Dental insurance Flexible spending account Paid time off Employee assistance program Vision insurance Life insurance Retirement plan Pet insurance Qualifications Decision making Research data analysis Full Job Description Full-time / Benefits Eligible / Hybrid Schedule Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Summary:

Ensures that all charges for facility and professional fees arising from services related to clinical research protocols or special programs are consistently segregated and billed to the appropriate payer with proper coding and reimbursement. Analyst ensures compliance with payer requirements and regulations, helps eliminate risks of double-billing to both a study sponsor and an insurer and minimize unnecessary denials. Routinely interact with industry sponsors, internal key stakeholders, and the research team. This position will serve as the centralized point of contact for specific billing issues related to research and special program billing. Fosters a culture of compliant research and special billing in support of an expanding research portfolio at Summa Health.

Formal Education Required:

a. Bachelor's Degree in business, finance, information technology, healthcare or related field or equivalent combination of education and/or experience.

Experience & Training Required:

a. Two (2) years' experience in research, or healthcare. b. Epic EMR experience, preferred

Other Skills, Competencies and Qualifications:

a. Possesses high integrity and is not otherwise engaged in duties that conflict with the goals of the system. b. Ability to use software applications such as Word and Excel with advanced proficiency. c. Understanding of the research revenue cycle and coverage analysis, payer coverage rules, the Medicare Clinical Trial Policy, IDE billing rules, and related State and Federal regulations, preferred. d. Strong working knowledge of federal regulations pertaining to the Center for Medicare and Medicaid Services rules for clinical trial billing, preferred. e. Working knowledge of regulatory requirements pertaining to human subject research as set forth by the FDA, NIH and other agencies, preferred. f. Position requires ability to research, organize, analyze, and synthesize data to support effective decision-making. g. Ability to multi-task and work independently. h. Strong communication skills. i. Ability to analyze a problem and use critical thinking in finding a resolution. j. Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity

Level of Physical Demands:

a.

Sedentary:

Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently. Equal Opportunity Employer/Veterans/Disabled $28.10/hr - $42.15/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. Basic Life and Accidental Death & Dismemberment (AD&D) Supplemental Life and AD&D Dependent Life Insurance Short-Term and Long-Term Disability Accident Insurance, Hospital Indemnity, and Critical Illness Retirement Savings Plan Flexible Spending Accounts - Healthcare and Dependent Care Employee Assistance Program (EAP) Identity Theft Protection Pet Insurance Education Assistance Daily Pay