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Type of Position:
Professional Staff - Project/Program Administration
Job Type:
Regular
Work Shift:
Day Shift (United States of America)
Sponsorship Available:
No
Institution Name:
University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
The safety of our team members at the University of Arkansas for Medical Sciences is our top priority. For this reason, successful applicants for this position must be fully vaccinated against Covid-19 or have an approved medical or religious exemption on file with our Student & Employee Health Services dept. UAMS will adhere to all federal, state and local regulations and will obtain necessary proof of vaccination prior to employment to ensure compliance.
UAMS offers amazing benefits and perks (available for benefits eligible positions only ):
- Health: Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Retirement: Up to 10% matched contribution from UAMS
- Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.
UAMS is an Affirmative Action and Equal Opportunity Employer of individuals with disabilities and protected veterans and is committed to excellence. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (501) 686-6432 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).
At UAMS we value Diversity, Equity and Inclusion. Visit our website to learn more: https://ddei.uams.edu/
For general application assistance or if you have questions about a job posting, please contact Human Resources at [email protected] .
Department:
FIN | CORE CCBO Quality Assurs
Department's Website:
Summary of Job Duties:
********This position is a remote position once trained on site; requires high speed internet and a secure work environment*****
Under general supervision of the Revenue Support Manager, the Clinical Research Finance Administrator is responsible for building/creating Research Billing Calendars for both Professional billing and Hospital billing in the EPIC POC environment (Task done by HB Clinical Finance Administrator position only). Conducts second tier research charge review; ensuring accurate and timely review of research charges for accurate posting to insurance or research account. Manages the identification and reporting on quality concerns such as CLARA budge inconsistencies, protocols not followed or timeliness of modifications to fee schedules. Acts as the primary liaison in the management of the research accounts by communicating highly complex information which may have a substantial impact on UAMS Research Programs. This requires interpretation and administration of technical and detailed guidelines, policies, and may include recommendations on budget modifications. Requires high degree of independent judgement and problem solving of complex issues, including but not limited to billing compliance. Must have knowledge base of Research Billing and Institutional Review Board guidelines as related to research billing including applicable CMS guidelines as relating to Research billing. Works with clinical departments to clarify CPT charge codes or documentation disparities. Manages communication with Health Information Management department to adjust coding based on applicable AAPC/AHIMA coding guidelines. Required to complete UAMS Certified Research Specialist (CRS) program and obtain certification.
Key Responsibilities:
• Manages assigned work queues in follow-up of research accounts including necessary changes to patient account detail on a daily basis. Reports any backlogs to management on a weekly basis. Meets departmental productivity standards.
• Review enrollment and other research reports for accuracy and compliance with research billing guidelines.
• Contacts HIM to resolve coding issues which may impact bill generation and/or payment.
• Contacts outpatient clinical areas to clarify coding-related issues in documentation.
• Responsible to identify and clarify inconsistencies between approved procedures rendered and procedures in the research budget through communication with research area.
• Builds clinical trial/research billing calendars in Proof of Concept (EPIC build environment module). Management of this task includes review of EAP and CPT charge codes that are included in the approved CLARA budget. This must be done on an individual basis per budget. Ensures that all associated charge codes are assigned in the correct protocol time line (phase or arm) in the treatment plan where the clinical orders are created.
• POC Billing Calendar Builds Summary: Employee will effectively communicate with team members to maintain the IRB tracking file. Once the baton is passed to CCBO HB, employee is responsible for completing the Billing Calendar builds within seven (7) business days. Exceptions will be granted for Builds with excessive Phases or Arms.
• Participates in two-tier review process. All clinical trial charges and claims are reviewed and evaluated against the coordinator instructions and the CLARA budget.
• Clinical Trial Review Summary: Works Research Biller Review Needed report daily. Reviews clinical trial claims as assigned to ensure accuracy following CMS billing guidelines. Employee collaborates with research study coordinator, manager or compliance to clarify gaps between services rendered and the research budget in a professional manner. Employee scrutinizes clinical trial accounts and notifies department, compliance and/or management in order for issue to be resolved. Employee is responsible for working assigned claims within 5 business days.
• Attends and completes required continuing education to retain active status of UAMS Certified Research Specialist certification.
• Quality/Productivity; The employee shall work accounts in a through and accurate manner. Employee shall meet departmental productivity standards on a regular basis.
• Other: Participates in monthly Research Enterprise Workgroup (REW) committee meetings and other affiliated meetings and task forces as requested. Carries out special projects as assigned; Performs special projects and account review as assigned by manager. Employee completes special projects and account review within requested timeframes and deadlines. Employee is able to monitor the progress of all assigned tasks, plans and organizes them in a way to get them all accomplished.
Qualifications:
Bachelor's Degree in Biology, Chemistry, or Science OR Business plus 3 years finance, medical billing, grant management, or other related experience OR High School, GED, or formal education equivalent plus 7 years finance, medical billing, grant management, or other related experience.
- Attends and completes required continuing education to obtain/retain active status of UAMS Certified Clinical Research Specialist upon hire.
- Must display exceptional communication and interpersonal skills.
- Must have current knowledge of ICD-10 and CPT codes.
- Ability to maintain minimum standards of productivity.
- Teamwork and cooperation skills.
- Strong analytical skills.
- Ability to maintain confidentiality of patient, physician and hospital information.
- Must be able to use a 10 key.
Prefer:
- Knowledge of medical terminology, anatomy and physiology.
- Certification as a CPC, CCA, CCS, RHIT or RHIA
- Current knowledge of Windows, EPIC, Change Healthcare, CLARA, HPF, MMDB and Web Chart.
Additional Information:
Salary Information:
Required Documents to Apply:
Optional Documents:
Cover Letter/Letter of Application, Letters of Recommendation, Proof of Veteran Status, Resume
Special Instructions to Applicants:
Recruitment Contact Information:
Please contact [email protected] for any recruiting related questions.
All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements:
Criminal Background Check
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
Constant Physical Activity:
Feeling, Grasping, Hearing, Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting
Frequent Physical Activity:
Reaching, Standing, Talking
Occasional Physical Activity:
Crouching, Lifting, Pulling, Pushing, Walking
Benefits Eligible:
Yes
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