RSCH MEDICARE COVERAGE ANALYST
Job posting number: #7076642 (Ref:hlj_29091)
Posted: April 1, 2021
Application Deadline: Open Until Filled
· This position is responsible for reviewing clinical research trials to determine if they are qualified clinical trials pursuant to Medicare's National Coverage Determination (NCD) 310.1. It oversees research billing through conducting Medicare Coverage Analyses (MCA) which ensures consistent application of Medicare rules, local coverage decisions, and NCCN guidelines across qualified clinical trials. It also harmonizes the clinical trial protocol, budget, contract, and informed consent to ensure that they are all consistent when it comes to billable items and language that concerns patient billing. Will also liaison with other patient billing departments to assist with research patient financial issues. This position will work independently and collaboratively on studies, special projects and initiatives.
T The Ideal Candidate:
- Preferred – experience in medical coding or billing.
- Experience using Microsoft Office suite including Outlook, Word, Excel, etc. (preferred - advanced experience in Excel…V-Lookups, Pivot Tables, Index, etc.)
- Determining if a clinical trial is a qualifying clinical trial according to CMS guidelines.
- Conducting Medicare Coverage Analysis.
- Research Document Concordance Review.
- Subject Injury Reimbursement Process.
- Other duties as assigned.
Credentials and Qualifications:
· Bachelor's Degree in Business Administration, Finance, Healthcare, or research related field required.
· A minimum of one year of experience in clinical research (industry/pharmaceutical and/or federal grants), billing compliance, research contract management, research administration, or budget development.
Mission To create a Moffitt culture of diversity and inclusion as we strive to contribute to the prevention and cure of cancer. Vision Moffitt Cancer Center is recognized as the model wherein the diversity of our employees and communities is valued and supported as essential components to contributing to the prevention and cure of cancer. The cancer center is an equal opportunity employer. It is the policy of the cancer center to prohibit unlawful discrimination and harassment of any type and to afford equal employment opportunities to workforce members and applicants, regardless of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, marital status, disability, genetic information, veteran’s status or any other characteristic protected by federal, state or local law.