Research Charge Review Analyst II
Clinical Trials Bus Support
Full Time
81552BR
Job Summary
Under general supervision, applies acquired skills as a revenue cycle analyst to complete projects of moderate scope and complexity.
Charge Review Responsibilities and Duties
- Examines and evaluates research related charges for appropriate routing and consistent routing for billing with guidelines and documentation protocols prescribed in the CA (Coverage Analysis)
- Utilize knowledge of various systems - including but not limited to :
- EPIC, government websites, and / or non-government websites and any other information systems needed during detailed follow-up
- Interpret coverage analysis information and enter important details to provide an audit trail for further review
- Research missing charges by reviewing CA (Coverage Analysis), APEX and MediAssets
- Review billing grids to identify missing charges
- Adheres to the rules and regulations of the different types of payers such as Medicare, Medi-Cal, CCS, PPO, EPO, HMO, and commercial insurance
- Initiate Charge Corrections
- Utilize knowledge of various systems including, but not limited to :
- Microsoft Word, EXCEL, Outlook, APEX, Payor Web Portals, MedAssets, government and / or non-government websites, and any other information systems which would be required for insurance eligibility, benefit verification or other information needed during detailed follow-up
- Notify manager of possible procedural change for improving efficiency
- Other duties as assigned
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF.
For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
The salary range for this position is $69,900 - $104,800 (Annual Rate).
To learn more about the benefits of working at UCSF, including total compensation, please visit : https : / / ucnet.universityofcalifornia.
edu / compensation-and-benefits / index.html
Department Description
The Office of Clinical Trial Activation provides support to investigators and study teams initiating and conducting clinical trials.
This includes maintaining a clinical trial management system (CTMS), conducting Medicare coverage analysis, developing budgets for clinical research studies, negotiating payment terms with industry and nonprofit sponsors, and providing clinical research infrastructure / services.
Required Qualifications
- Bachelor's degree in related area and one or two years of experience or an equivalent combination of education and experience.
- Detail oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner
- Proficiency in common database, spreadsheet and presentation software.
- Experience with MS Excel and Outlook
- Demonstrated analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems
- Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas
Preferred Qualifications
- Working knowledge of the practices, procedures, and concepts of the healthcare revenue
- cycle
- Knowledge of any or all of the following : billing, collections, charge capture,
- contractual adjustments, third-party reimbursements, and cash management
- Demonstrated communications skills, with the ability to interpret and convey complex
- clinical finance information in a clear, concise manner. Ability to summarize and present
- reports and presentations
- Knowledge of CPT / ICD-9 or ICD-10
- Prior working knowledge of the EPIC (Apex) system, especially PB or HB Insurance Follow up Module(s)
- Certified Procedural Coder (CPC)
About UCSF
The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care.
It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health.
We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care.
Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Employment Opportunity
The University of California San Francisco is an Equal Opportunity / Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Organization
Campus
Job Code and Payroll Title
007590 REVENUE CYCLE HC ANL 2
Job Category
Accounting / Finance, Professional (Non-Clinical)
Bargaining Unit
99 - Policy-Covered (No Bargaining Unit)
Employee Class
Career
Percentage
100%
Location
Emeryville, CA, Hybrid
Shift
Days
Shift Length
8 Hours
Additional Shift Details
Monday - Friday; 7AM - 3 : 30PM PST (Hybrid work model)
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