Medical Biller (Clinical Research) Job at Nexus HR Services

Nexus HR Services Beverly Hills, CA 90211

$25 - $32 an hour

Clinical Research Billing Associate - Beverly Hills, CA

Rate: $25 - $32 an hour

About the Job

Our Client is a Cancer Center searching for a reliable, dedicated, and experienced Clinical Research Billing Associate to join their growing team in Beverly Hills, CA.

Duties and Responsibilities:

  • Billing and collection for clinical research patient’s standard of care services.
  • Works closely with insurances to achieve timely billing and collection.
  • Ensures billing compliance by determining how clinical research protocol items and services are billed per federal agency guidelines through the conduct of Medicare Coverage Analysis.
  • Performing quality control and quality assurance measures over clinical research billing (trial opening to close-out).
  • Posting of Research payments and breakdowns in the EMR
  • Conduct financial reconciliation for all services provided to research patients (reviewing and comparing services captured in CTMS and EMR) to achieve billing compliance.
  • Provide financial counseling for research patients upon consenting and during study participation on trial coverage and patient responsibility.
  • Ability to bill out Standard of Care (SOC) services, coding certification preferred.
  • Obtain authorization for oncology treatments given within clinical trials as standard of care and handles denials.
  • Reports to Director of Clinical Research Operations and will work closely with the billing team, finance team, authorization and the clinical research team.

Qualifications:

  • 2 years of experience in research, billing, or healthcare administration
  • 3 years of experience in Medicare Coverage Analysis
  • Experience with sponsored oncology clinical research trials
  • High School Diploma, Bachelor's Degree preferred
  • Clinical Trial Billing Certified required
  • Experience with the use of Clinical Trials Management System (CTMS), preferably RealTime CTMS.
  • Strong attention to detail and ability to adhere to policies and procedures.
  • Able to work in Beverly Hills, CA
  • Authorized to work in the US

Benefits:

  • Health, dental, and vision insurance
  • 401k
  • Company-sponsored life insurance
  • Voluntary supplemental life insurance
  • Voluntary short term / long term disability options
  • Flex PTO & paid holidays
  • FSA
  • Employee recognition programs
  • Team building events & employee appreciation lunches
  • Referral bonus programs

Job Type: Full-time

Pay: $25.00 - $32.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Ability to commute/relocate:

  • Suite 200 Beverly Hills, CA 90211: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Medicare Coverage Analysis: 3 years (Required)
  • Clinical Trials Management System (CTMS): 1 year (Required)

License/Certification:

  • Clinical Trial Billing Certification (Required)

Work Location: In person




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