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Billing Specialist I Clinical Trials
$56k-76k (estimate)
Full Time | Ambulatory Healthcare Services 6 Days Ago
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McLaren Health Care is Hiring a Billing Specialist I Clinical Trials Near Detroit, MI

Job Summary: Processes non-industry sponsored claims and all professional fees associated with clinical trial patients, in a timely and accurate basis. Ensures compliance of claims processing in accordance with insurance guidelines. Responsible for the day-to-day activities related to resolution of patient accounts up to and including: adding NCT ID#s, identifying information that was missing or posted in error, and releasing billing edits. Abstracts codes to facilitate an accurate database for research, planning, statistics and financial reimbursement.

Responsibilities:

  • Performs daily review and reconciliation of billing edits for patients on non-industry sponsored trials.
  • Verifies eligibility of clinical trail patients from database (clinical trials management system (CTMS) OnCore ® ).
  • E nter NCT ID# in AMPFM for all non-industry sponsored trials and release for billing.
  • Review and correct daily billing edit spreadsheet for bad NCT ID#s in AMPFM.
  • Review and process all professional fees associated with clinical trial patients and supply NCT ID#s to vendors for insurance claims.

Qualifications:

  • Bachelor’s Degree required with minimum of 1-2 years previous workexperience in patient accounting; or equivalent combination of education andexperience.
  • Demonstrated understanding of ICD-9-CM, CPT-4 (HCPCS) codingprotocols, and government regulations. Knowledge of edit reports in advance of electronic billing preferred.
  • Knowledge of accounts invoices and accounts receivable preferred.
  • Comprehensive knowledge of medical terminology, anatomy &physiology, pharmacology, disease processes, surgical and medical procedures.
  • Computer application skills: Windows, Word, Excel, Outlook, Oncoreand CITRIX/CIS.

Equal Opportunity Employer of Minorities/Females/Disabled/VeteransAdditional Information

  • Schedule: Full-time
  • Requisition ID: 24002575
  • Daily Work Times: 7 am - 3:30 pm
  • Hours Per Pay Period: 40
  • On Call: No
  • Weekends: No

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$56k-76k (estimate)

POST DATE

05/16/2024

EXPIRATION DATE

07/14/2024

WEBSITE

mclaren.org

HEADQUARTERS

DEWITT, MI

SIZE

7,500 - 15,000

FOUNDED

1914

REVENUE

$200M - $500M

INDUSTRY

Ambulatory Healthcare Services

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About McLaren Health Care

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $6 billion (budget FY21), fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 15 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a 490-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering approximately 640,000 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malp ... ractice insurance company. McLaren operates Michigans largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 51 National Cancer Institute-designated comprehensive cancer centers in the U.S. As part of its Graduate Medical Education (GME) program, McLaren maintains academic affiliations with medical schools at Wayne State University, Michigan State University and Central Medical University. McLarens six (6) GME campuses offer 27 residencies and eight (8) fellowship programs that train over 650 future physicians annually. All GME programs at McLaren are overseen and managed centrally by the Department of Academic Affairs. More
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