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#90865 Billing Compliance Specialist Supervisor

Filing Deadline: Mon 11/20/2017

This is a UC San Diego Internal Recruitment open to UC San Diego Employees Only

UCSD Layoff from Career Appointment: Apply by 11/16/17 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Eligible Disability Counseling and Consulting services (DCC) or Special Selection clients should contact their Vocational Rehabilitation Counselor for assistance.

DESCRIPTION

The Clinical Trials Office (CTO) at the Moores UCSD Cancer Center manages over 300 oncology clinical trials on behalf of its member investigators, including trials sponsored by National Cancer Institute cooperative groups, pharmaceutical companies, and physician investigators.

The Cancer Center is an NCI-designated Comprehensive Cancer Center – one of only 40 nationwide. As such, it ranks among the top centers in the nation conducting basic and clinical cancer research, providing advanced patient care and serving the community through outreach and education programs. The Cancer Center maintains a membership roster of over 342 faculty members whose academic appointments are in 18 different departments which often creates complex, unique and one of a kind insurance situations.

This position will require participation in long-range goals for the Cancer Center, with independent administrative responsibility for clinical trial insurance billing compliance and acquiring of no cost drug programs for un-funded and under insured patients. Responsible for ensuring proper insurance and patient billing for all patients in a clinical trial in the Cancer Center utilizing computerized billing systems to replicate University billing. Responsible for quality control of patient insurance accounts, billing and explanation of benefits, using knowledge pertaining to government and University regulations regarding billing and collection procedures. In addition, this position is responsible for the supervision of the Medication Acquisition Specialist, Patient Experience Concierge, and a short-term employee.. Independently responsible for organizing and maintaining all insurance billing files, tracking payments, tracking denials, and following up on outstanding payments to the University.

MINIMUM QUALIFICATIONS

  • Bachelor's degree in related area and/or equivalent experience/training.

  • Supervisory and organizational skills. Ability to effectively manage priorities in a fast-paced environment.

  • Working knowledge of accounting principles, business math and bookkeeping for budget planning and analysis, and in reconciling discrepancies.

  • In depth knowledge of clinical trials federal coverage decisions and senate bills, specifically NCD/SB37.

  • Demonstrated ability to understand and interpret, without guidance or supervision, complex general policy guidelines, making independent decisions and initiating action.

  • Knowledge of policies and procedures relating to patient insurance billing, research account processing, and accounting. Ability to analyze and interpret which policies and procedures apply to a given situation.

  • Demonstrated knowledge and familiarity with oncology clinical trials services and billing.

  • Knowledge of acquisition and management of no cost drug programs for un-funded and under insured patients.

  • Excellent written skills and knowledge of English language, including grammar, spelling, and punctuation usage, to compose, edit, and finalize correspondence. Excellent interpersonal and oral communication skills. Demonstrated skill to communicate clearly, effectively, tactfully, and patiently in person, on the telephone and in writing to a diverse group of people in the academic and business communities. Ability to present a positive impression in person, on the telephone and through written correspondence.

SPECIAL CONDITIONS

  • Employment is subject to a criminal background check.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, and several outpatient clinics. UC San Diego Medical Center in Hillcrest is a designated Level I Trauma Center and has the only Burn Center in the county. We invite you to join our dynamic team!

 

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

 

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego School of Medicine
Payroll Title:
ADMIN SPEC SUPV
Department:
CANCER CENTER/Clinical Trials Office
Salary Range
Commensurate with Experience
Worksite:
Moores Cancer Center
Appointment Type:
Career
Appointment Percent:
100%
Union:
Uncovered
Total Openings:
1
Work Schedule:
Days, 8 hrs/day, Mon-Fri