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McLaren Health Care
Michigan, MI | Full Time
$63k-82k (estimate)
4 Weeks Ago
Billing Specialist II Clinical Trials
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$63k-82k (estimate)
Full Time | Ambulatory Healthcare Services 4 Weeks Ago
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McLaren Health Care is Hiring a Billing Specialist II Clinical Trials Near Michigan, MI

Analyzes and codes clinical trial patient records according to Clinical Trial Policy National Coverage Determination coding conventions/guidelines, and as guided by government, third party and regulatory guidelines. Abstracts codes to facilitate an accurate database for research, planning, statistics and financial reimbursement.

 

Responsibilities: 

 

  1. Performs daily review and reconciliation of billing edits for patients on industry sponsored trials.
  1. Verifies eligibility of clinical trail patients from database (clinical trials management system (CTMS) OnCore).
  1. Review all industry sponsored claims with Pre-Award department before releasing to ensure the internal budget matches patient bills.
  1. Provides daily statistical reporting to Management of Productivity Measurements.Analyzes charges and codes utilizing ICD-9-CM and/or CPT-4 (HCPCS) coding methodologies to include appropriate modifiers where warranted, while adhering to national coding guidelines for correct coding.
  1. Clarifies inconsistent, ambiguous or non-specific information in the patient billing record by consulting the medical record.

 

 

 

  • Bachelor’s Degree required with minimum of 3-4 years previous work experience in patient accounting; or equivalent combination of education and experience.
  • Demonstrated understanding of ICD-9-CM, CPT-4 (HCPCS) coding protocols, 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, Oncore and CITRIX/CIS.

    Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

  • Additional Information

    Job Summary

    JOB TYPE

    Full Time

    INDUSTRY

    Ambulatory Healthcare Services

    SALARY

    $63k-82k (estimate)

    POST DATE

    03/27/2024

    EXPIRATION DATE

    04/13/2024

    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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