- Ensure compliant research billing practice for assigned department(s) at University Hospitals Cleveland Medical Center and UHHS, including comprehensive knowledge & application of CMS regulations, maintaining UH billing standards, and record maintenance including accurate grant reporting. (45%)
- Demonstrate efficient task performance, high level of organization and the maintenance of accurate administrative records, including database entries and reporting, to meet management goals. (15%)
- Through effective communication, provides guidance to colleagues and assists department research personnel in research patient billing matters. (10%)
- Track One: CA Focus
• Develop patient care clinical project budgets which meet compliance and fiscal standards, utilizing thorough knowledge of coverage analysis and budgeting principles. Assist in negotiation of budget with Sponsor. (30%)
or
Track Two: Claim Management Focus
• Partner with revenue cycle to assist with resolving research claim denials, manage third party insurance issues, and independently process complex research claims according to CMS or private payor rules to ensure maximum payment recovery on outstanding billing. (30%)
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
- Bachelor's Degree in finance, healthcare or related field (management, nursing, biology) Required
- 3+ years demonstrated success with research administration in a health-care environment Required or
- 1+ years demonstrated success in research patient care billing to include accurate charge segregation according to Medicare coverage regulations. Required
- Must have in-depth knowledge of research financial process. Required
- Essential skills include excellent organizational, communication, and trouble-shooting skills. Required
- Strong analytical skills are needed to assess coverage analysis, interpret and reconcile research charges, and assure accurate grant reporting. Required
- Strong communication skills are for mentoring junior colleagues. Required
- Proficiency and technical skills with MS Office. Required
- Prefer proficiency and technical skills with OnCore, Oracle, Velos and Soarian applications. Required
- Knowledge of federal and state laws and regulations governing research billing and grant management Required
- Knowledge of CMS and affiliate billing standards to ensure accurate processing of complex claims involving Radiation Therapy, Chemotherapy and Immunotherapy. Required
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely 20 lbs
- Carrying Rarely 20 lbs
- Pushing Rarely 20 lbs
- Pulling Rarely 20 lbs
- Climbing Rarely 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
-
Research Finance Specialist II
3 weeks ago
University Hospitals Chardon, United StatesEssential FunctionsEnsure compliant research billing practice for assigned department(s) at University Hospitals Cleveland Medical Center and UHHS, including comprehensive knowledge & application of CMS regulations, maintaining UH billing standards, and record maintenance includi ...
-
Research Finance Specialist II
3 weeks ago
University Hospitals Cleveland, United StatesEssential Functions Ensure compliant research billing practice for assigned department(s) at University Hospitals Cleveland Medical Center and UHHS, including comprehensive knowledge & application of CMS regulations, maintaining UH billing standards, and record maintenance includ ...
-
IT specialist for system integration and
2 days ago
BlueHorizon Solutions Mentor, United StatesHannoversche Volksbank eG Kurt-Schumacher-Straße Hannover Your contact persons Job offers Cris Trapphagen Send email Andreas Basan Send email Sophia Hohmann Send email Technical problems in the application process PERBILITY GmbH Mon-Fri 08:00 to 17:00 Email contact Hannoversche V ...
-
Consumer Loan Sales Specialist
1 week ago
OneMain Financial Euclid, United States Full timeAt OneMain, Consumer Loan Sales Specialists empower customers – listening to their needs and providing access to friendly, fast, and affordable financing for life's expenses. Consumer Loan Sales Specialist will learn the lending and servicing business at OneMain allowing them to ...
-
Pricing Specialist
1 week ago
Olin Cleveland, United StatesEveryone at Olin contributes to our Winning Model. We empower our employees to make a difference at work, home, and in their communities. We celebrate and reward our diverse and innovative workforce that defines our future and contributes through leadership, engagement, and produ ...
-
Manager, Clinical Research
3 weeks ago
University Hospitals Chardon, United StatesPosition Summary · This position is responsible for leading and managing day-to-day operations, resources, and staffing for Urology clinical research to ensure efficiency, safety, and compliance. This role is dedicated to responsibly growing research and scientific innovation fo ...
-
Insurance Accounting Specialist
1 week ago
Love Insurance Agency Chardon, United StatesJob Description · Job DescriptionFounded in 1950 and now proudly in its second and third generations, Love Insurance Agency has been a cornerstone of our community, specializing in all lines of insurance. Our values of respect, honesty, and humility guide everything we do, foster ...
-
Insurance specialist
2 days ago
Fusion Dynamics Macedonia, United StatesDo you love and live communication with people? Sales is your thing? · ... Then we are your new employer · We stand for "Together. Bank. Rethinking." · We are close to our customers as well as our members and employees and always follow the digital trends for them. · We are perso ...
-
Industrial clerk
3 weeks ago
Infinity Technologies Cleveland, United StatesJob Description · Number of apprenticeships: 1 · Tasks and Process · As a business administrator, you are a true all-rounder and deal with the planning, implementation and monitoring of various business and economic tasks. You support all company processes from order initiation t ...
-
Wage and Salary Accountant Income Tax Law
2 days ago
Cascade Ventures Elyria, United StatesAbout the Company · For over 30 years, we have been specialists in payroll, finance and accounting, travel expense management, and related IT services. With our team of over 70 employees, we serve clients across the DACH region. Our success is thanks to the dedicated efforts of o ...
-
Dental Front Desk Specialist
1 week ago
Community Health Centers Forest City, United StatesA career at Community Health Centers offers a unique opportunity to join a team that makes a real impact in our community every day, by improving individuals' health while enhancing their quality of life. · **Top Reasons to Work at Community Health Centers** · - No weekends for t ...
-
quoting pricing specialist
2 weeks ago
Hexpol Burton, United StatesJob Description · Job Description · Position: Quoting/Pricing Specialist · Department: Pricing and Business Analytics · Position Reports to: Director of Pricing and Business Analytics · FLSA Status: Salary, Exempt · Location: Hybrid · Position Summary · To deliver bottom-line ...
-
Accounts Receivable Specialist
2 weeks ago
Emerald Resource Group Mentor, United StatesJob Title: Accounts Receivable Specialist · Position Overview: · The Accounts Receivable Specialist plays a crucial role in our finance department, responsible for accurately and timely applying cash receipts to customer accounts. This position requires a proactive individual w ...
-
quoting pricing specialist
2 weeks ago
HEXPOL Burton, United StatesJob Description · Job DescriptionPosition: Quoting/Pricing Specialist · Department: Pricing and Business Analytics · Position Reports to: Director of Pricing and Business Analytics · FLSA Status: Salary, Exempt · Location: Hybrid · Position Summary · To deliver bottom-line ...
-
Senior Manager, Human Resources
3 weeks ago
STERIS Mentor, United StatesAt STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the globe. · Position Summary · The Senior Manager, HR serves as an HR Business Partner for assigned client groups within ...
-
Senior Manager, Human Resources
3 weeks ago
STERIS Canada Corporation Mentor, United StatesSelect how often (in days) to receive an alert: · Job Title: · Senior Manager, Human Resources · Description: · At STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the glob ...
-
Product Manager
2 weeks ago
STERIS Mentor, United StatesAt STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the globe. · Position Summary · The Product Manager will create diverse global marketing strategies enterprise-wide, cond ...
-
Senior Financial Reporting Analyst
16 hours ago
Avery Dennison Smartrac Mentor, United States Full timeCompany Description · Avery Dennison Corporation (NYSE: AVY) is a global materials science and digital identification solutions company that provides a wide range of branding and information solutions that optimize labor and supply chain efficiency, reduce waste, advance sustain ...
-
Senior Manager, Human Resources
1 week ago
STERIS Mentor, United StatesAt STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the globe. · Position Summary · STERIS is growing and is adding to our Corporate HR team. This newly created position ser ...
-
Tax Support Specialist
3 weeks ago
Paychex, Inc. Highland Hills, United StatesAdvance Partners is an entrepreneurial and rapidly growing specialty finance and business services company. Advance provides payroll funding, working capital, back office support and a variety of strategic services to independent staffing firms. Foun Support Specialist, Tax, Supp ...
Research Finance Specialist II - Chardon, United States - University Hospitals
Description
Essential FunctionsQualifications Education