CLINICAL RESEARCH BILLING SPECIALIST

3 hours ago

Tampa, FL, United States H. Lee Moffitt Cancer Center Full time

Job Summary

Position Highlights:

The specialist will utilize the OnCore Clinical Trial Management System (CTMS) financial functionality to track billable items and be responsible for following up with study teams if billing information is missing or improperly captured. Review study activity for billable services or visits and invoice sponsors for this activity. Responsible for submitting claims to all insurance companies. Investigate and resolve insurance company denials/inquiries concerning services, billing or fees/charges. Investigate duplicate/overpayments. Notify/refund appropriate payer. Responsible for gathering charge information, coding, distributing appropriate information and sponsor claim management

The Ideal Candidate Will Have:

  • Experience with Soarian or Clinical Research
Responsibilities:
  • Tracks new Clinical Trials patients through appropriate system, placing selected accounts on hold for review
    • Reviews active research patient accounts for business office requirements, verifying conformity with established protocol budget and study-required patient care services prior to patient/insurance billing.
  • Audits Clinical Trials patient accounts, based on notification from the clinical trial team
    • Previously submitted to patient/insurance verifying correct billing as it relates to study budget, identifying possible errors.
  • Works closely with Moffitt Cancer Center business/insurance billing to assist with unusual and complex billing and reimbursement issues associated with research patient's accounts
    • Assists in the development of research patient financial services policies and procedures.
    • Reviews, researches and resolves complex research patient billing issues.
  • Problem solves and makes suggestions to Director of Clinical Research Revenue Integrity
    • Applying appropriate and varying processing procedures in determining research charges which need to be written off.
    • Assists in the development, implementation and enhancement of specific projects related to research financial patient issues by defining overall project goals, expectations of customers, tasks and activities required to achieve goals.
  • Participates in development of reporting and tracking requirements
    • Identifying Clinical Trial patients billing discrepancies; assists in development of guidelines for responding to specific inquiries from patients (referred by Business Office) relating to billing issues, and development of appropriate documentation
    • Work closely with all Moffitt Cancer Center and Moffitt Medical Group (MMG) physicians and clinic staff. Ensures that all charges are captured and billing the E & M outpatient and inpatient services for physician research.
Credentials and Qualifications:
  • Associate's Degree in Business, Finance, Accounting, similar educational program, or equivalent experience
  • Minimum of three (3) years' experience in clinical research hospital/physician billing, medical audit or case management, patient financial services and/or revenue cycle billing, or clinical trails coordination
    • In lieu of Associates degree, a High School diploma/GED plus five (5) years' experience in clinical research hospital billing/physician billing, medical audit or case management, patient financial service and/or revenue cycle billing, or clinical trails coordination is acceptable.
    • Additionally, a Bachelors Degree plus one (1) year experience in clinical research hospital billing/physician billing, medical audit or case management, patient financial services and/or revenue cycle billing, or clinical trails coordination is acceptable.

  • Clinical Research Billing Specialist

    2 days ago

    Tampa, FL, United States Moffitt Cancer Center Full time

    At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been...

  • Clinical Research Billing Specialist

    4 days ago

    Tampa, FL, United States Moffitt Cancer Center Full time

    At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been...

  • Legal Billing Specialist

    1 week ago

    Tampa, FL, United States Jean Kripton Full time

    Legal E-Billing Specialist in office Tampa position Our client a consulting firm to the legal industry is in need of your billing expertise. The company is located in Tampa and they offer a competitive salary and benefits. Surepoint and Orion software are a plus. Our client, a consulting firm to the law firm industry is currently seeking a Billing...

  • CLINICAL RESEARCH BUDGET NEGOTIATOR

    5 days ago

    Tampa, FL, United States H. Lee Moffitt Cancer Center Full time

    Clinical Research Budget NegotiatorPosition Highlights: The Clinical Research Budget Negotiator plays a crucial role in the financial management of industry sponsored, federal, State of Florida, and privately funded clinical trials at Moffitt Cancer Center. This position is responsible for negotiating clinical trial budgets and payment terms to support an...

  • CLINICAL RESEARCH BUDGET NEGOTIATOR

    2 weeks ago

    Tampa, FL, United States H. Lee Moffitt Cancer Center Full time

    Clinical Research Budget NegotiatorPosition Highlights: The Clinical Research Budget Negotiator plays a crucial role in the financial management of industry sponsored, federal, State of Florida, and privately funded clinical trials at Moffitt Cancer Center. This position is responsible for negotiating clinical trial budgets and payment terms to support an...

  • Clinical Research Budget Negotiator

    5 days ago

    Tampa, FL, United States Moffitt Cancer Center Full time

    At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been...

  • Clinical Research Budget Negotiator

    2 weeks ago

    Tampa, FL, United States Moffitt Cancer Center Full time

    At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been...

  • Payroll Billing Specialist

    1 week ago

    Tampa, FL, United States NESCO Inc Full time

    We are seeking a Payroll & Billing Specialist to join our growing internal team. The primary responsibilities are the support of all payroll and billing needs for multiple branches. This role ensures accurate, timely, and compliant processing while partnering closely with internal staff and clients. Essential Duties Process payroll on a daily basis and...

  • Payroll Billing Specialist

    7 hours ago

    Tampa, FL, United States NESCO Inc Full time

    We are seeking a Payroll & Billing Specialist to join our growing internal team. The primary responsibilities are the support of all payroll and billing needs for multiple branches. This role ensures accurate, timely, and compliant processing while partnering closely with internal staff and clients. Essential Duties Process payroll on a daily basis and...

  • Clinical Research Coord II

    2 days ago

    Tampa, FL, United States University of South Florida Full time

    Job Description The Clinical Research Coordinator II is responsible for coordinating and performing research related activities for clinical research projects as assigned. The primary purpose of this position is to be the main point of contact for sponsors and patients for specific research protocols. This position is responsible for performing the...