Billing Reviewer I CTSI
Core
Entry-level performer of charge capture and claim resolution in Epic for clinical research studies, ensuring accuracy of charges linked to research in the Epic system for study sponsor or insurance/patient billing.
Role type
Billing Reviewer I
Builds
Accurate charge capture and claim resolution for clinical research studies
Domain
Healthcare / Clinical Research
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical terminology, Accounts payable/receivable processes, Epic system navigation, CMS guidelines knowledge, Charge allocation, Discrepancy resolution, Refund processing, Audit review
Preferred skills
CPC or RHIT certification, 1-year coding/reimbursement experience, 1-year business office experience in healthcare or research office
Technologies
Epic, OnCore, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
Responsibilities
Review and allocate research charges in Epic to study accounts; Remediate charge errors; Identify appropriate billing modifiers; Verify and resolve discrepancies using medical records and Charge Master; Calculate and facilitate refunds for inappropriate reimbursement; Audit and review accounts to ensure accuracy and resolve past due accounts.
Seniority
Entry-level