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The Role
Reviews, routes, audits, and reconciles research charges to ensure accurate billing and compliance with study coverage analyses, Medicare regulations, NCD 310.1, and institutional policies. Resolves billing and adjustment errors, maintains knowledge of clinical research billing requirements, and uses EPIC, CTMS, financial tracking systems, and coding standards to support timely processing.
Summary Generated by Built In
Under general supervision, reviews and routes research charges to the appropriate billing entity, ensuring billing activities are accurate and appropriate. Responsible for ensuring research billing compliance in accordance with study coverage analysis.
Responsibilities
Benefits Overview
- Under general supervision, reviews and routes research charges.
- Reviews billing activities in accordance with NCD 310.1, billing regulations, local policies and procedures.
- Ensures accurate and timely processing of research charges.
- Evaluates and resolves billing and adjustment errors as required.
- Maintain current understand of current billing research billing regulations and requirements.
- Reviews and audits research billing data for accuracy.
- Performs all other duties as assigned.
- Knowledge and understanding of research and/or clinical and billing regulations affecting clinical trials and medical research (e.g. NCD 310.1).
- Extensive experience with EPIC electronic medical record.
- Familiarity with hospital and professional billing.
- Experience with Medicare Coverage Analysis, ICD-10, CPT codes and research billing modifiers.
- Knowledge of financial tracking systems including Accounting and Clinical Trial Management Systems (CTMS).
- Self-motivated problem solver with strong analytical skills.
- Ability to communicate effectively, both verbally and in writing.
- Ability to professionally handle matters of a sensitive nature with confidentiality.
- Proficiency with Microsoft Office skills with strong working knowledge of Excel.
- Shown ability in utilizing EPIC Systems.
- Knowledge of NCD310.1.
- Knowledge of Medicare Coverage Analysis.
- Shown Ability to utilize Clinical Trial Management Systems (CTMS) applications.
Education:
- Bachelor's degree in a related field is required.
Experience:
Three (3) years of related experience is required.
About Us The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio is a model of access and excellence — advancing knowledge, social mobility and public health across South Texas and beyond. UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America’s Best Employers for Company Culture.
Benefits Overview
UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.
Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.
Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.
Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.
FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.
Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.
Time Off - A generous leave program offers multiple paid leave options:
- Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
- Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
- Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
- Holidays: 12 set paid holidays each year.
Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.
EEO Statement
UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.
Skills Required
- Bachelor’s degree in a related field
- Three years of related experience
- Knowledge of research, clinical, and billing regulations affecting clinical trials and medical research
- Extensive experience using the EPIC electronic medical record system
- Familiarity with hospital and professional billing
- Experience with Medicare Coverage Analysis, ICD-10, CPT codes, and research billing modifiers
- Knowledge of financial tracking systems, including accounting and Clinical Trial Management Systems
- Strong analytical, problem-solving, verbal, and written communication skills
- Ability to handle sensitive matters confidentially and professionally
- Proficiency with Microsoft Office, including strong working knowledge of Excel
- Knowledge of NCD 310.1
- Ability to use Clinical Trial Management Systems applications
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The Company
What We Do
UT Health San Antonio™, one of the country’s leading health sciences universities, is the leader in south/central Texas funding for the National Institutes of Health (NIH). The university’s schools of medicine, nursing, dentistry, health professions and graduate biomedical sciences have produced more than 33,000 alumni. The $806.6 million operating budget supports four campuses in San Antonio and Laredo, and is the primary driver of its community’s $37 billion biomedical and health care industry. For more information on the many ways “We make lives better®,” visit uthealthsa.org.
