Clinical Research Billing & Revenue Specialist

Title: Clinical Research Billing & Revenue Specialist Location: Upper East Side Org Unit: General Operations, Other Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: $33.90 - $38.30 *As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summary Under direction, reviews and processes clinical research charges that are routed to the Research Billing Review report in Epic. Reviews charges to ensure each charge is appropriately designated for payment in accordance with the Coverage Analysis. Collaborates with departments and study teams to clarify discrepancies as necessary. Works with Physician’s Billing (PB) and Hospital Billing (HB) team to provide context on escalated charges. Job Responsibilities Reviews charges for active participants on clinical research studies in accordance with the coverage analysis, protocol and budget, as appropriate. Assigns billing designation to each charge to ensure appropriate payment routing and processing. Works closely with assigned departments and study teams to resolve issues related to charge routing, linking and payment. Assists with the development and implementation of strategies and procedures that will reduce review timelines and promote faster processing. Performs extensive follow-up to investigate charge discrepancies and trends. Liaises with PB and HB teams to reconcile issues with research charges and facilitate processing. Monitors the Research Billing Report and workqueue to ensure charges are reconciled to meet timely filing deadlines. Monitors research charge patterns and alerts manager to deviations. Serves as point of contact to assist departments, study teams and participants with reconciling claims that were incorrectly billed. Provides education and training to study teams, as needed, on clinical research billing processes, study team responsibilities and study account payment procedures. Assists in training current and new employees on the use of systems and departmental policies and procedures. Works with supervisor to create clinical research charge reports for dissemination to study teams. Attends workshops and seminars to keeps abreast of billing policies and procedures. Performs other related duties as assigned. Education High School Diploma Experience Bachelor’s degree preferred. Approximately 3 years of medical billing, specifically accounts receivable experience. Proficient in working within an EMR. Knowledge, Skills and Abilities Demonstrated knowledge of medical terminology. Demonstrated knowledge of third party reimbursement. Demonstrated ability to function independently and exercise independent judgment. Demonstrated strong communication and interpersonal skills; demonstrated ability to interact with multiple constituencies and exercise "people skills". Demonstrated proficiency with MS Office Suite and database applications. Demonstrated organizational skills and ability to pay close attention to detail. Demonstrated critical thinking and analytical skills. Demonstrated ability to remain focused despite frequent interruptions. Ability to treat confidential information with utmost discretion. Ability to exercise standards of professionalism, including appearance, presentation and demeanor. Demonstrated ability to work effectively in a collaborative manner with all departmental faculty and staff, as well as other institutional representatives. Licenses and Certifications Working Conditions/Physical Demands Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of “any person, any study.” No person shall be denied employment on the basis of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national origin, citizenship and immigration status, color, sex, pregnancy or pregnancy-related conditions, age, creed, religion, actual or perceived disability (including persons associated with such a person), arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual’s genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law. Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds. We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, Cornell engages in affirmative action in employment for qualified protected veterans as defined in the Vietnam Era Veterans’ Readjustment Assistance Act (VEVRRA) and qualified individuals with disabilities under Section 503 of the Rehabilitation Act. We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.