Job Description

Job Summary

Revenue Cycle Research Billing Compliance Sr. representative for data integrity and policy/process oversight.  This position will include comprehensive review, analysis, workflow upgrades, KPI reporting, and ongoing SOP development and maintenance.  This position will partner closely with Revenue Cycle Operations, Office of Research, and HITS.  This position requires an in-depth understanding of Revenue Cycle operations and workflows including Charge Integrity, Coding, and Billing. Responsible for development and implementation of workflows that support compliant clinical trial billing to sponsors and payors.  Requires in-depth understanding of MiChart Billing rules and interfaces. Provides continuous comprehensive, detailed analyses of findings and proposed resolution and workflows for updated technology and clinical trial regulations. Assists with the development of EPIC training and educational programs for the Compliance Division.  Acts a department liaison with our internal and external partners to resolve complex system, process, and billing issues.  Works closely with Michigan Medicine peers and partners to enhance workflows, create good business relationships and maintain a high level of support.  Investigates and researches clinical trial billing policies of payers and communicates changes to appropriate downstream impacts. Maintains regular interactions and communication with Third Party Payers to ensure clinical trial billing compliance per payor guidelines and requirements.  Performs quality assurance and assesses degree of risk for non-compliance with internal audit findings.  Creates and reports department metrics.  This role is assigned special projects, data integrity audits, and system testing.

Responsible for study participant research charge review, interface imports from Oncore to MiChart, creation of research accounts, setting up general ledger and short code in MiChart, Service Now inquiries, review and adjudication of PB and HB items and services, monitor and analyze Compliance Division processes and workflows. 

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.  Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems.  In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

Responsibilities*

Required Qualifications*

Desired Qualifications*

Bachelor's Degree in Health or Business Administration or 7+ years of experience working directly in Revenue Cycle Billing or equivalent combination of education and experience. Proficiency in the EPIC billing system and knowledge of clinical trial management system(s). Thorough knowledge of Medicare Clinical Trials and Enrollment Policies, National Coverage Decisions, Local Coverage Decisions, and Limitations on Coverage, medical claims coding practices and clinical processes.  Strong working knowledge and experience with clinical trial regulatory documents such as protocols and informed consents and Clinical Trial Agreements (CTA).

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.

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