What You Will Do

• Ensure compliant research billing practice for assigned department(s) at University Hospitals Cleveland Medical Center and UHHS, including comprehensive knowledge & application of CMS regulations, maintaining UH billing standards, and record maintenance including accurate grant reporting. (45%)
• Demonstrate efficient task performance, high level of organization and the maintenance of accurate administrative records, including database entries and reporting, to meet management goals. (15%)
• Through effective communication, provides guidance to colleagues and assists department research personnel in research patient billing matters. (10%)
• Track One: CA Focus

  • Develop patient care clinical project budgets which meet compliance and fiscal standards, utilizing thorough knowledge of coverage analysis and budgeting principles. Assist in negotiation of budget with Sponsor. (30%)

  or

  Track Two: Claim Management Focus

  • Partner with revenue cycle to assist with resolving research claim denials, manage third party insurance issues, and independently process complex research claims according to CMS or private payor rules to ensure maximum payment recovery on outstanding billing. (30%)

Additional Responsibilities

• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

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UH Cleveland Medical Center

UH Cleveland Medical Center is University Hospitals’ flagship academic medical center. With more than 1,000 registered beds, UH Cleveland Medical Center provides primary, specialty and subspecialty medical and surgical care in the heart of Cleveland’s University Circle.