This position will remain open until a successful candidate has been identified.
UCSD Layoff from Career Appointment: Apply by 6/15/18 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.
The Clinical Trials Office (CTO) at the Moores UCSD Cancer Center administers many clinical trials projects on behalf of its member investigators, including trials projects 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 49 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 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 research and management of no-cost drug programs for un-funded and under-insured patients. In addition, this position is responsible for quality control of patient insurance accounts, billing and explanation of benefits, and using knowledge pertaining to government and University regulations regarding billing and collection procedures. Independently responsible for organizing and maintaining all insurance billing files, tracking payments, tracking denials, and following up on outstanding payments to the University.
Bachelor's degree in related area and/or equivalent experience/training.
Knowledge of any or all of the following: billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
Knowledge of clinical trials federal coverage decisions and senate bills, specifically NCD/SB37.
Knowledge of acquisition no cost drug programs.
Demonstrated ability to file insurance appeals on behalf of patients for private and public insurance carriers.
Knowledge of reviewing, analyzing and managing assistance contracts between patients and drug companies.
Experience of quality control of all patient accounts, billing and recharge documents and data base entries.
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.
Knowledge of reporting instruments, metrics and/or dashboard design.
Knowledge of database, spreadsheet and presentation software.
Basic communications skills, with the ability to interpret and present clinical financial information clearly and concisely.
Employment is subject to a criminal background check and pre-employment physical.
UC San Diego is an academic powerhouse and economic engine, recognized as one of the top 8 public universities by U.S. News and World Report. Innovation is central to who we are and what we do. Here, students learn that knowledge isn't just acquired in the classroom - life is their laboratory. UC San Diego's rich academic portfolio includes six undergraduate colleges, five academic divisions and five graduate and professional schools. The university's award-winning scholars are experts at the forefront of their fields with an impressive track record for achieving scientific, medical and technological breakthroughs.