Research Billing Specialist
: Overview:
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Research Billing Specialist is responsible for coordinating the clinical trial billing, collection and reconciliation process as well as assisting in the day-to-day department finance operations. The Research Billing Specialist will be cross-trained on the job functions of the Research Billing Compliance Specialist and will perform these functions as required. Responsibilities: A day in the life of a Research Billing Specialist with Hackensack Meridian Health includes:- Invoice and track payments from clinical trial sponsors for patient visits and other study related costs as outlined in the clinical trial budgets and contracts. a. Daily follow-up on pending payments with third party vendors. b. Perform study close-out final account reconciliation.
- Perform check reconciliation for all payments remitted to clinical cancer research. a. On-going follow-up with vendors on outstanding accounts. b. Coordination with the department of finance accountants for patient and study level financials. c. Generate quarterly accounts payable reports and POs for private physician practice(s)
- Process payment requests for patient reimbursement and to third party Vendors according to hospital policy.
- Serve as a financial resource for clinical staff and research patients: a. Coordinate subject travel and lodging with patients and vendors. b. Interpret and explain clinical trial budgets and contracts to patients and staff. c. Troubleshoot vendor payment discrepancies.
- Utilize Research department software to track clinical trial revenue.
- Attend finance meetings and assist other departments with patient account discrepancies.
- Assist with the preparation of reports requested by the Finance department.
- Resolve outstanding patient bills/disputes with the Finance department and/or directly with research patients.
- Troubleshoot internal department billing processes.
- Conduct annual billing training for research staff and on an as-needed basis for new hire employee department orientation.
- Cross-coverage with Research Billing Compliance Specialist: a. Review/report/transfer of charges posted in hospital billing system by reviewing DSA forms and clinical trial budget/contracts. b. Prepare monthly reports capturing Accounts Payable to the hospital for patient accounts and to third party vendors. c. Maintain DSA forms and documentation associated with clinical cancer research patient accounts.
- Develop and maintain tracking metrics for research finance.
- Work on special projects for Clinical Cancer Research department as assigned by leadership.
- Maintain strong lines of communication with ancillary departments and outside vendors.
- Adhere to Standards identified in the Medical Center's Organizational Competencies.
- Bachelor's degree in Accounting, Sciences or equivalent experience.
- Minimum of 2 years of experience with billing/coding and/or financial/business operations.
- Advanced Microsoft Office Skills specifically in Excel.
- Experience with billing and collection processes.
- Ability to analyze complex situations and identify solutions and make appropriate determinations.
- Ability to work effectively as a member of a team.
- Effective written and verbal communication skills; excellent interpersonal skills.
- Experience with oncology and/or research.
- Medical Billing/Coding certification.
- SOCRA CCRP certification or equivalent experience.
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