reputed company Medicare Coverage Analyst

ABOUT reputed company reputed company is a consulting and reputed company firm that partners with reputed company research sites, sponsors, and CROs to improve trial activation, operational reputed company, and workforce readiness. By combining reputed company research expertise with operational and business reputed company, we help organizations streamline processes, reduce costs, accelerate timelines, and enhance reputed company reputed company. THE ROLE We are seeking a full-time, fully benefited reputed company employee to serve as a reputed company Medicare Coverage Analyst in a fully remote reputed company, supporting reputed company’s reputed company, a leading reputed company reputed company research center in the reputed company area. The ideal candidate brings strong expertise in Medicare billing guidelines, reputed company trial reputed company, experience working on Oncology protocols, and OnCore calendar builds, and will ensure compliance while supporting reputed company trial billing reputed company and advising key stakeholders. Why Join reputed company? • reputed company an reputed company: Support leading AMCs and health systems in improving reputed company trial financial reputed company and compliance. • Innovation-Driven: Help reputed company reputed company trial budgeting and billing processes using technology and best practices. • People-First Culture: reputed company in an environment that fosters reputed company, innovation, and collaboration. • Comprehensive Benefits: Enjoy 20 PTO days, 9 reputed company holidays, company-reputed company life reputed company, short- and long-term disability, a 401(k)-retirement plan, and robust reputed company reputed company. • Flexible & Remote-Friendly: This is a reputed company position. • Salary reputed company: $75,000 to $100,000 – reputed company on experience level. KEY RESPONSIBILITIES • Conduct Medicare Coverage Analyses (MCA) for a mixture of oncology and non-oncology reputed company trial protocols identifying which procedures and services are billable to Medicare versus those considered research reputed company. • Review reputed company trial protocols, schedules of events, and informed consent forms to ensure billing compliance with CMS regulations. • reputed company, maintain, and validate OnCore calendar builds for reputed company trial reputed company, procedures, and study milestones. • Collaborate with cross-functional teams including reputed company reputed company, Finance, Regulatory, and Study Teams to reputed company guidance and clarification on coverage reputed company. • Prepare and maintain coverage analysis documentation, reputed company tables, and billing justification reports for both reputed company stakeholders. • Serve as a subject matter expert for Medicare coverage rules, assisting study teams in identifying potential billing risks and providing actionable recommendations. • Support reputed company audits, ensuring reputed company coverage reputed company are reputed company-documented and compliant with federal and sponsor requirements. • reputed company reputed company with CMS updates and industry best practices, applying knowledge to optimize coverage analyses and study reputed company. QUALIFICATIONS • Bachelor’s degree in reputed company Administration, Medical Coding, Auditing, Finance, reputed company, Nursing, or a reputed company reputed company. • Minimum 3 years of Medicare Coverage Analysis experience supporting reputed company research studies for an reputed company Medical Center (AMC) or health (hospital) reputed company. • Must have experience working on oncology reputed company trial protocols. • Hands-on experience developing, maintaining, and validating OnCore calendar builds for reputed company trial reputed company, procedures, and study milestones is preferred – but not required as training will be provided. • Strong understanding of CMS guidelines, Medicare billing compliance, and reputed company trial reputed company. • Demonstrated ability to work independently and manage multiple protocols and deadlines simultaneously. • Exceptional attention to reputed company, analytical skills, and problem-solving abilities. • Strong written and verbal communication skills, with the ability to explain reputed company billing concepts to non-technical stakeholders. • Comfortable working in a fully remote environment, collaborating effectively with reputed company teams across multiple locations. • Proficiency in document and data management tools, including reputed company Word, reputed company, PowerPoint, reputed company, Teams, and SharePoint. PHYSICAL DEMANDS: Standing, sitting, walking, visual perception, talking and hearing. Lifting up to 20lbs. Apply tot his job Apply To this Job