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Research Finance Specialist II (Hybrid) Job in Cleveland, Ohio US

Job Summary

Company: University Hospitals Health System
Location: Cleveland, OH
Industries: Government and Military
Job Type: Full Time; Employee
Years of Experience: Less than 1 Year
Job Reference Code: 79204166

Research Finance Specialist II (Hybrid)

About the Job

Description

Essential Functions

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%)

Required For All Jobs

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.

Equal Opportunity Employer – minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

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