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We are looking for a meticulous Healthcare Clinical Billing Research Specialist to join our team on a contract basis in Dallas, Texas. This role involves ensuring billing accuracy and compliance for clinical research studies, requiring a strong background in healthcare billing and revenue cycle management. The ideal candidate will excel in analyzing complex billing scenarios, identifying discrepancies, and applying Medicare coverage guidelines. This is 2-3 month contract position. 100% REMOTE
Job Responsibility:
Review healthcare claims and charges associated with clinical research studies to ensure compliance and accuracy
Conduct in-depth research and analysis based on industry regulations, including Medicare coverage analysis
Identify and resolve inconsistencies or errors in billing by collaborating with cross-functional teams
Investigate complex billing questions and provide clear, well-documented solutions
Maintain detailed records and documentation of findings and recommendations in line with organizational policies
Utilize tools like Epic EMR and Microsoft Excel to analyze data, track claims, and generate reports
Stay up-to-date with changes in billing regulations and policies affecting clinical research
Apply strong critical thinking skills to address billing challenges and develop effective resolutions
Ensure alignment with organizational standards and Medicare-specific guidelines in all billing processes
Requirements:
Proven expertise in healthcare billing, clinical research billing, or revenue cycle management
Strong attention to detail and organizational skills to ensure accuracy in billing reviews
Experience with Medicare-related terms and policies, including clinical research billing and coverage analysis
Proficiency in tools such as Epic EMR and Microsoft Excel for data analysis and reporting
Ability to analyze complex billing scenarios and resolve discrepancies effectively
Familiarity with industry standards, including Medicare coverage guidelines and compliance regulations
Excellent problem-solving skills and the ability to work independently on research and documentation tasks
What we offer:
medical, vision, dental, and life and disability insurance