UCSD Layoff from Career Appointment: Apply by 08/30/21 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 09/09/21. Eligible Special Selection clients should contact their Disability Counselor for assistance.
This position will remain open until filled.
The incumbent coordinates and executes the financial billing of clinical research. Responsible for compilation of statistical, fiscal and metric data as it relates to clinical research billing activities. Assists with clinical research billing special projects. Ensures timely invoicing, and monitoring of charges for government and sponsored research.
Assist the Clinical Research Billing Director with monthly clinical research accounts for financial reporting purposes to the Clinical Trials Office, to ensure accurate financial statements to investigators, business managers and other internal departments. Responsible to maintain clinical research accounts receivable statistics and metrics on an ongoing basis.Assist with clinical research financial projects, including, but not limited to rapid improvement events. Assists with ongoing review of internal processes to streamline or create new more efficient processes; assist in executing process changes and assist with overseeing to completion.
Assist with policies and procedures, both design and implementation, as they relate to compliance with laws, Medicare Coverage Analysis, National Coverage Decision, statutes and regulations dealing with clinical research billing issues. Interact with all levels of management and personnel to provide useful information, guidance and integrity to the clinical research finance activities. Maintain professional growth and development. Keeps abreast of latest trends in the area of reimbursement and other compliance related assignments.
Under general supervision, applies dashboards and processes for continuous analysis of revenue cycle functions of moderate scope and complexity. Audits data input for all components of revenue cycle management. Follows established UC San Diego and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality. Performs other related duties as assigned or requested.
Seven (7) years of related experience, education/training in finance, accounting, or clinical research compliance/billing, OR a Bachelor's degree in related area plus three (3) years of related experience in finance, accounting, or clinical research compliance/billing.
Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
Required to have basic working knowledge of medical terminology, ICD-10 CPT, HCPCS, DRG, APC, FDA, Office of Human Research Protection (OHRP), revenue and charge master codes.
Knowledge of Centers of Medicare and Medicaid (CMS) documentation and coding rules and guidelines; guidelines of private insurance payors; charge capture and reimbursement methodologies; CMS manuals; professional and/or hospital services reimbursement and repayment methodologies.
Must be able to work various hours and locations based on business needs.
Employment is subject to a criminal background check and pre-employment physical.
UC San Diego is an academic powerhouse and economic engine, recognized as one of the top 8 public universities by U.S. News and World Report. Innovation is central to who we are and what we do. Here, students learn that knowledge isn't just acquired in the classroom - life is their laboratory. UC San Diego's rich academic portfolio includes six undergraduate colleges, five academic divisions and five graduate and professional schools. The university's award-winning scholars are experts at the forefront of their fields with an impressive track record for achieving scientific, medical and technological breakthroughs.