Research Coverage Analyst Lead
University of Kentucky
Lexington, KY
Full-time
Research
Posted on May 9, 2024
Posting Details
Posting Details
Job Title
Research Coverage Analyst Lead
Requisition Number
RE45312
Working Title
Research Billing Integrity Team Lead
Department Name
40133:Clinical Research Support Office
Work Location
Lexington, KY
Grade Level
46
Salary Range
$51,491-84,950/year
Type of Position
Staff
Position Time Status
Full-Time
Required Education
MA
Click here for more information about equivalencies:
https://hr.uky.edu/employment/working-uk/equivalencies
Required Related Experience
5 yrs
Required License/Registration/Certification
None
Physical Requirements
May require some lifting of light-weight objects; extended periods of sitting and/or standing at workstation; walking across campus to meetings/events.
Shift
Monday – Friday; 8:00 am – 5:00 pm
Job Summary
The position will assign daily work for coverage analysts, process all new studies and amendments and conduct triage of each submission to determine the level of build. Maintain daily metrics for new studies and amendments. The position performs some complex coverage analysis and billing reviews and performs quality control for all CAs and billing grids before study team's approval. Organize and participate in all CA and billing meetings with study teams and coordinate the intake meetings as needed. Performs Tier 1 notifications – monitoring periodically in compliance with the UKHC policy for Tier 1 processing. Communicates with the Director any issues related to billing to approve CAs and consult and work closely with the Director to resolve billing in Epic as needed. Resolve all inquiries related to coverage analysis and billing clinical research for external partners. Maintain the process touch times and task lists to ensure the products are completed timely and accurately. Provide ongoing training and education to new staff, new study teams and serve as an expert in coverage analysis working in collaboration with the Director.
The position performs detailed reviews of complex study protocols, budgets, informed consent forms, contracts, FDA letters, and other relevant research documents to determine qualifying status, according to the Centers for Medicaid and Medicaid ( CMS) standards as required by legal provisions for the Medicare program.
The University of Kentucky uses equivalencies in determining if a potential applicant meets the minimum education and experience. Related experience can be substituted for education. Click here for more information about equivalencies: http://www.uky.edu/hr/employment/working-uk/equivalencies
Skills / Knowledge / Abilities
MS Excel, Outlook, Word
Does this position have supervisory responsibilities?
No
Preferred Education/Experience
Medical Coding or Medical Billing knowledge and research experience – coverage analysis training/experience is preferred.
Deadline to Apply
05/15/2024
University Community of Inclusion
The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance. We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome. We also value the well-being of each of our employees and are dedicated to creating a healthy place to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.
As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.
Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.
Posting Specific Questions
Required fields are indicated with an asterisk (*).
Required Documents
Posting Details
Job Title
Research Coverage Analyst Lead
Requisition Number
RE45312
Working Title
Research Billing Integrity Team Lead
Department Name
40133:Clinical Research Support Office
Work Location
Lexington, KY
Grade Level
46
Salary Range
$51,491-84,950/year
Type of Position
Staff
Position Time Status
Full-Time
Required Education
MA
Click here for more information about equivalencies:
https://hr.uky.edu/employment/working-uk/equivalencies
Required Related Experience
5 yrs
Required License/Registration/Certification
None
Physical Requirements
May require some lifting of light-weight objects; extended periods of sitting and/or standing at workstation; walking across campus to meetings/events.
Shift
Monday – Friday; 8:00 am – 5:00 pm
Job Summary
The position will assign daily work for coverage analysts, process all new studies and amendments and conduct triage of each submission to determine the level of build. Maintain daily metrics for new studies and amendments. The position performs some complex coverage analysis and billing reviews and performs quality control for all CAs and billing grids before study team's approval. Organize and participate in all CA and billing meetings with study teams and coordinate the intake meetings as needed. Performs Tier 1 notifications – monitoring periodically in compliance with the UKHC policy for Tier 1 processing. Communicates with the Director any issues related to billing to approve CAs and consult and work closely with the Director to resolve billing in Epic as needed. Resolve all inquiries related to coverage analysis and billing clinical research for external partners. Maintain the process touch times and task lists to ensure the products are completed timely and accurately. Provide ongoing training and education to new staff, new study teams and serve as an expert in coverage analysis working in collaboration with the Director.
The position performs detailed reviews of complex study protocols, budgets, informed consent forms, contracts, FDA letters, and other relevant research documents to determine qualifying status, according to the Centers for Medicaid and Medicaid ( CMS) standards as required by legal provisions for the Medicare program.
The University of Kentucky uses equivalencies in determining if a potential applicant meets the minimum education and experience. Related experience can be substituted for education. Click here for more information about equivalencies: http://www.uky.edu/hr/employment/working-uk/equivalencies
Skills / Knowledge / Abilities
MS Excel, Outlook, Word
Does this position have supervisory responsibilities?
No
Preferred Education/Experience
Medical Coding or Medical Billing knowledge and research experience – coverage analysis training/experience is preferred.
Deadline to Apply
05/15/2024
University Community of Inclusion
The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance. We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome. We also value the well-being of each of our employees and are dedicated to creating a healthy place to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.
As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.
Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.
Posting Specific Questions
Required fields are indicated with an asterisk (*).
- * Please indicate your years of paid work experience with clinical research management, clinical trials, clinical billing, and work assignments/monitoring.
- None
- More than 0, through 1 year
- More than 1 year, through 3 years
- More than 3 years, through 5 years
- More than 5 years
- * Please choose the answer that describes your amount of paid employment experience working with Epic.
- None
- More than 0, up through 1 year
- More than 1 year, up through 3 years
- More than 3 years, up through 5 years
- More than 5 years
- * Where did you first see this position advertised other than on UK's online employment system?
- HigherEdJobs.com
- Diverseeducation.com (Diverse Issues in Higher Education)
- HERCjobs.org (Higher Education Recruitment Consortium)
- InsightIntoDiversity.com
- Latinosinhighered.com
- Indeed.com
- A Colleague, Friend and/or Family Member
- UK Job Fair
- None of the Above
Required Documents
- Resume
- Cover Letter
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