Research Billing Integrity Team Lead

UK and LexingtonThe University of Kentucky (UK) is hiring a Research Billing Integrity Team Lead!

UK has been recognized as a Higher Education Excellence in Diversity (HEED) Award recipient for the seventh (7th) consecutive year and has earned Forbes ranking for Best Employers for Diversity, Best Employers for Women, America’s Best Large Employers, and recognition as a Military Friendly School.UK has also been recognized as a “Great College to Work For” for the sixth (6th) consecutive year, in large part due to Compensation & Benefits, Faculty & Staff Well-being, Shared Governance, Faculty Experience, and Diversity, Inclusion & Belonging. In addition to your take-home pay, your benefits package is a major component of your total compensation at UK. These benefits include flexible work arrangements; our 200 percent match on eligible retirement contributions; competitive health, dental, and vision coverage; tuition benefits for classes at UK, and much more.

UK, located in Lexington, KY, is the ninth largest economic company in the state. Lexington has been ranked as one of the nation's best places to live and work, and offers a vibrant community for professionals and their families. Lexington is safe, affordable, and offers excellent education opportunities, and is home to several Fortune 500 companies and the University of Kentucky. More information regarding Lexington can be found at: https://vimeo.com/302892787

Job SummaryThis position is eligible to be fully remote.

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.

Required Education / ExperienceBachelor's degree and two (2) years of experience OR equivalent (below) - High School diploma or GED and six (6) years of experience - Associate’s degree and four (4) years of experience - Master's degree and no experience - Doctorate degree and no experience

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

Required License/Registration/CertificationNone.

Preferred Education / ExperienceMedical Coding or Medical Billing knowledge and research experience – coverage analysis training/experience is preferred.Master’s degree is preferred.Five years of experience is preferred.

University Community of InclusionThe 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.

The University of Kentucky is an Equal Opportunity Employer and encourages applications from veterans, individuals with disabilities, women, African Americans, and all minorities.

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.