Revenue Cycle Specialist

Revenue Cycle Specialist The Ohio State University Wexner Medical Center - 3.9 Columbus, OH Job Details Full-time 23 hours ago Qualifications Collaborate with healthcare professionals Financial forecasting Revenue cycle management Term negotiation Financial data reconciliation Clinical research Medicare Bachelor of Science Medical coding Healthcare Administration Research Mid-level Clinical research compliance Bachelor's degree Decision making Accounting Contracts Accounting and finance experience LPN Financial audit support 2 years Documentation review Certified Medical Assistant Full Job Description Scope of Position The Clinical Research Finance & Compliance (CRFC) Department is responsible for the accounting and analysis of key financials for all Oncology clinical trials; especially focusing on Revenue and Billing. Responsibilities across the group include revenue recognition and forecasting, project costing, negotiation of contract terms, monthly reconciliation and invoicing, coverage analysis, patient claim review, patient reimbursement, and assistance with internal audit requests. The department provides support to the Clinical Trials Office (CTO), Principal Investigators (PIs), and various Business Units across the Medical Center and College of Medicine. Position Summary Reporting to the Director of Clinical Research Finance & Compliance (CRFC), the Revenue Cycle Specialist's role is focused on ensuring the proper billing for OSUCCC-James patients participating in clinical trials. The Revenue Cycle Specialist will be assigned a portfolio of clinical trials for which s/he will review patient bills in the medical record system to apply Medicare research coding when applicable and move research specific charges to the research account, assist in the maintenance of research timelines in the medical record system, and maintain the Medicare Coverage Analysis in the clinical trials management system. The work will be largely independent and require decision making based on understanding of medical record chart notes, research protocol, and standard clinical operating procedures. The Revenue Cycle Specialist will work closely with the CRFC Nursing Program Coordinators, the Clinical Trials Office (CTO) managers and coordinators, Principal Investigators (PIs), and OSU Medical Center Research Billing Office (RBO). Minimum Qualifications Licensed Practical Nurse (LPN) or Certified Medical Assistance (CMA) or BA/B.S. in Healthcare related Administration, or equivalent experience; 2 or more years' relevant experience working in healthcare or clinical research. Knowledge of medical billing or coding preferred. Career Roadmap: FUNCTION: Finance SUB-FUNCTION: Revenue Cycle Services CAREER BAND: Individual Contributor - Specialized CAREER LEVEL: S1 Regular 40 First Shift