Advocate Health and Hospitals Corporation
Billing Reviewer I CTSI
Atrium Health Wake Forest Baptist - Medical Center Blvd, Winston Salem, NC · Part-time
Sponsorship not specified$23k-$34kDetected 1 day ago
AccountingExcelCustomer SupportEpicClinical TrialsClinical ResearchResearchCommunicationCollaborationMicrosoft OfficeAccounts Payable
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odds of building a lasting career here
37Risky
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds (Level I)39
Fits your clock70
Thin sponsorship signal and lottery-bound (~15% per draw). A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.
Lottery odds assume a STEM candidate.
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About the role
- The position is responsible for performing line-item charge review of research patient encounters in the Advocate Health charge capture system, EPIC.
- Clinical research billing reviewer activities include but are not limited to the review and allocation of research charges in EPIC.
- Remains knowledgeable about CMS and Fiscal Intermediary medical necessity guidelines and their impact on billing and reimbursement in clinical research.
Responsibilities
- ESSENTIAL FUNCTIONS: Performs review of all technical and professional charges generated from EPIC and any ancillary subsystems for allocation to the research study account, insurance claim and/or patient statement to verify the accuracy of charges as they compare to the research billing intention/plan outlined in the protocol Billing Grid.
- Performs remediation of charge errors discovered during EPIC review.
- Perform specialized duties involved in the preparation and processing of particularly complex charge issues.
- Prioritizes job tasks; demonstrates willingness to assist Manager/Director in the completion of special projects and daily task to support the Department's productivity and efficiency.
- Performs other related duties, as assigned.
Requirements
- Excellent phone etiquette and internal/external customer service skills, required.
- Experience with computerized databases (e.g., Microsoft Excel), word processing (e.g., Microsoft Word), and presentation software (e.g., Microsoft PowerPoint).
- Demonstrates ability to work independently.
- It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs.
- Excellent oral and written communication skills.
- Strong interpersonal skills and attention to detail.
- Health offers a comprehensive suite of Total Rewards:
- Educational Assistance Program Note:
- Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
- About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health.
- Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
- Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs.
Nice to have
- LICENSURE, CERTIFICATION, and/or REGISTRATION:
- CPC or RHIT certification preferred.
- Identifies appropriate use of billing modifiers and other CMS requirements for billing research-related charges to federal and non-federal payors.
- Supply all missing information and correct inaccurate data as needed.
- Processes charge related corrections/additions/removals in EPIC for both the hospital and physician billing to ensure organizational compliance with all state and federal regulations.
- Responsible for the movement of funds and correction of fees in EPIC.
- Follows established hospital and physician departmental guidelines and state and federal regulations to assure the most productive and compliant outcome when processing charge related corrections.
- Audit and review accounts to ensure accuracy
Compensation
- Department: 85203 Wake Forest University Health Sciences - Academic Office of Clinical Research Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Remote Work Pay Range: $22.90 - $34.35 Bill
Benefits
- Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Visa & Work Authorization
- assure the accuracy and completeness of all assigned charges linked to research in EPIC and captured in EPIC for study sponsor or insurance/patient billing of inpatient and outpatient hospital services for research parti
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