Sr. Research Medicare Coverage Analyst
Job posting number: #7066488 (Ref:hlj_26135)
Posted: May 25, 2020
Application Deadline: Open Until Filled
The Clinical Trial Business Office at Moffitt Cancer Center, located in Tampa, FL is recruiting for a Sr. Research Medicare Coverage Analyst.
This position has the potential to be 100% remote.
The RMCA will be responsible for performing a comprehensive Medicare Coverage Analysis in accordance with Medicare's Clinical Trial Policy (NCD 310.1) as well as medical association guidelines, national and local coverage determinations, nationally recognized peer-reviewed publications and professional practice guidelines on clinical research protocols with billable services.
The RMCA will ensure accurate determinations of research patient billing compliance to mitigate institutional risk.
- The incumbent will maintain comprehensive documentation of all Medicare Coverage.
- Analysis grids and systems for tracking in the institutional Clinical Trials Management System, OnCore.
- Be responsible for sign off on all Medicare Coverage Analysis grids by assisting research faculty with the interpretation of related guidance and their effect on research billing processes, as needed.
- Exemplifies Moffitt Cancer Center’s mission, vision and values and acts in accordance with the internal policies and procedures. Maintains, utilizes and updates data collection in OnCore for use in gathering and compiling information, preparing reports and analyses, as required.
The ideal candidate will establish and maintain cooperative and mutually supportive working relationships with Moffitt Cancer Center faculty, administrators, research team members, and sponsoring agencies and companies.
The ideal candidate will also be flexible and prioritize within an ever-changing, service-oriented environment and appropriately complete individual assignments while also working effectively within a team and on team projects.
Required Education and Experience
Bachelor’s Degree in Business Administration, Finance, Healthcare or research related field.
4 years of related experience in direct clinical trial billing compliance health care experience including patient billing, coding scheduling, revenue recognition/integrity
Strong interpersonal and communication skills, both oral and written to ensure interaction with a variety of professional within the hospital
Preferred Education and Experience
Master degree in Business Administration, Finance, Healthcare or research related field
3-5 years’ experience in clinical research (industry/pharmaceutical and or federal grants) billing compliance, research contract management, billing, coding scheduling, revenue recognition/integrity
Experience in medical coding or billing
Advanced experience in Excel (V-lookups, pivot tables, index, etc.)
Knowledge of research regulatory environment
Mission To create a Moffitt culture of diversity and inclusion as we strive to contribute to the prevention and cure of cancer. Vision Moffitt Cancer Center is recognized as the model wherein the diversity of our employees and communities is valued and supported as essential components to contributing to the prevention and cure of cancer. The cancer center is an equal opportunity employer. It is the policy of the cancer center to prohibit unlawful discrimination and harassment of any type and to afford equal employment opportunities to workforce members and applicants, regardless of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, marital status, disability, genetic information, veteran’s status or any other characteristic protected by federal, state or local law.