Fort Worth, Texas
San Mateo, California
Oakland, California
Oakland, California
Posted: 27-Jul-23
Location: St. Louis, Missouri
Salary: Open
Internal Number: 2023-07187
Job Summary
Under general direction, the Billing Audit Analyst performs regular billing compliance audits to ensure compliance with government and third-party payer requirements. Validates hospital/physician billing invoices, distributes them to appropriate departments for payment, and follows up on payment statuses in Workday. Â Manages the encounter ticket process and verifies entries in the Clinical Trials Management System. Ensures research data integrity across various systems/databases.
This role is open for a hybrid work model.
Job Duties
65% Performs billing compliance audits, including reviewing coverage analyses and actual billing statements for congruence as well as ensuring appropriate capture of physician and hospital services.
20% Validates hospital/physician invoices and distributes them to individual departments. Performs periodic aging reports and follows up to address payment processing delays.
10% Manages the encounter ticket process and verifies entries in the Clinical Trials Management System (CTMS).
5% Performs other duties as assigned.
Knowledge, Skills, and Abilities
Knowledge of regulations and guidelines related to clinical research
Working knowledge of clinical research terminology and multiple medical conditions
Working knowledge of Medicare/Medical billing/coding processes and understanding of Medical and Research billing and coding utilizing CPT, ICD-10 and HCPCS
Knowledge of EPIC
Strong interpersonal and customer service skills
Excellent time management, organizational and multitasking skills
Ability to maintain confidentiality     Â
Salary/Benefits
Salary range $46,720 to $57,000 plus benefits including vacation and sick leave, health/dental/vision/life insurance, 403B retirement savings plan and match, tuition remission, employee assistance program and wellness program.
Minimum Qualifications
Associate degree, supplemented with four (4) years of related work experience or
Bachelors degree, supplemented with two (2) years of related work experience or one-year medical billing, clinical trial billing or health insurance experience. Certified Coding Specialist certification preferred but not required.