Medicare Coverage Analyst

Overview

Professional - Nonclinical
Req #: 65307

Summary:

The Medicare Coverage Analyst role interfaces between the research departments and billing process. This role will review each study protocol and informed consent to determine each medical service the patient will receive to develop the Medicare Coverage Analysis (MCA).

• The Medicare Coverage Analyst role interfaces between the research departments and billing process. This role will review each study protocol and informed consent to determine each medical service the patient will receive to develop the Medicare Coverage Analysis (MCA).

• Education:
  
  Associate or Bachelor’s Degree or one year equivalent and related work experience in finance/coding/billing or billing for services rendered to a patent in a clinical trial in the hospital setting or healthcare industry required.
• License/
  
  Certifications:
  
  Applicable professional certification through AHIMA (CCA) or AAPC (CPC A, COC-A) preferred. Must obtain professional credential within one year of start date. Obtain Epic Proficiency for Research Billing within six months of start date.
• Experience:
  
  See Education. EPIC HB/PB preferred.
• Additional Skills/Requirements
  
  Required:
  
  NA
• Additional Skills/Requirements Preferred:
  Microsoft Office skills. Knowledge of revenue cycle processes and hospital/ medical billing. Understanding of components of electronic medical record. Knowledge of code data sets to include CPT, HCPCS, ICD 10, Revenue codes, Value Codes and Conditions codes. Knowledge of NCCI edits, and Medicare LCD/NCDs as well as Medicare Manuals

With a career at any of the Maine Health locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.

Maine Health remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.

If you have questions about this role, please contact alyssa.lewis