Responsible for ensuring all revenues associated with clinical trials are captured and recorded in an accurate and timely manner; preparing and submitting any requisite bills or invoices and supporting documentation for our services; responding to any inquiries related to billing made by our sponsors; and coordinating with other medical billers to ensure any supplemental billing for medically necessary services is processed and submitted. Responsible for performing ad hoc analyses related to clinical trials and or the billing and collections thereof; producing additional analyses related to the Walgreens Health Revenue Cycle Program as a whole; and performing any other work, as determined by the Director, related to either the clinical trial process, or the Revenue Cycle Management process.
Job Responsibilities :
Responsible for confirming eligibility of our subjects or patients for the clinical trials and medical services we will be providing to them throughout the course of our Clinical Trials
Responsible for ensuring the accurate and timely revenue capture, billing and collections of all revenues associated with the performing of Clinical Trials at Walgreens Health, which includes billing and collecting from our clinical trials sponsors as well as billing and collecting from any payers associated with our subjects when we perform medically necessary and approved services for those patients
Follows up with Clinical Trials Director of Finance and designated representatives from our Sponsors, as required, to ensure timely and accurate payment on invoices
Works closely with the Clinical Trials Director of Finance to identify and enhance revenue capture, billing and collection solutions and processes to improve overall Clinical Trials financial and operational performance
Working with other RCM Team Members and the Clinical Trials Director of Finance, develops, maintains, and regularly distributes and communicates KPIs via a dashboard related to the RCM activities associated with our Clinical Trials Program
Provides more complex analysis of corresponding Clinical Trials data to build business case for system and operational procedure changes, enhancements, and development
Maintains a comprehensive understanding of business processes and practices pertaining to all aspects of the Clinical Trials Program within Walgreens Health
Be able to read and interpret treatment notes, diagnostic study results and or minor procedure notes. Based on review, be comfortable questioning documentation to ensure completeness and accuracy off final submissions.
Bachelor’s degree OR a high school diploma/GED and at least 3 years of experience in Clinical Trials Billing and Collections experience
At least three 3 years of experience in Medical Billing and Collections
Intermediate proficiency with Medical Terminology
Ability to communicate clearly, effectively, and persuasively with colleagues and leadership
Intermediate or better proficiency with MS Excel
Willing to travel up to/at least 5% of the time for business purposes(within state and out of state).
Strong communication and customer service skills
Attention to detail and ability to multitask
Organizational and time management skills
Works well independently and in a team environment, and works especially well cross functionally