Coverage Analyst (Remote)

Remote Jobs; North Carolina; Remote; USD 80,000 - 100,000; Full time

Job summary

A clinical research firm is seeking a candidate to conduct coverage analysis for clinical trials. The role requires a Bachelor’s degree or relevant work experience and a minimum of one year in a similar position. The candidate should possess strong attention to detail and organizational skills, alongside proficiency in Excel. This remote opportunity offers a comprehensive benefits package and a supportive work environment.

Benefits

Comprehensive benefits package

Paid time off including holidays and vacation

Career development opportunities

Qualifications

• Minimum of 1 year of professional experience in a related role.
• Ability to understand clinical terms and descriptors.

Responsibilities

• Conduct coverage analysis for clinical trials.
• Interpret Medicare policies for billing determinations.
• Use software to identify relevant CPT/HCPCS codes.
• Participate in internal quality review processes.

Skills

Attention to detail

Organizational skills

Excellent communication

Proficiency in Excel

Education

Bachelor's degree in a related field

Job description

Overview

Employer Industry: Clinical Research and Trials

Why consider this job opportunity

• Salary up to $35.60 per hour
• Comprehensive benefits package including health, dental, vision, life, disability, and 401k with match
• Opportunities for career development with on-the-job training and continuing education reimbursement
• Paid time off including holidays, vacation, and sick time
• Referral bonuses available
• Supportive work environment emphasizing employee value and investment in future success

Responsibilities

• Conduct coverage analysis for clinical trials, including reading and analyzing protocols to develop activity grids
• Interpret Medicare policies and clinical practice guidelines to make billing determinations for clinical trials
• Use software and internal resources to identify potential CPT/HCPCS codes relevant to activity grids
• Participate in internal quality review processes by reviewing work completed by others
• Attend to other duties as assigned by the supervisor, which may occasionally be unrelated to the primary position

Qualifications

• Bachelor\'s degree in a related field or significant relevant work experience in lieu of a degree
• Minimum of 1 year of professional experience in a related role
• Strong attention to detail and organizational skills
• Excellent communication (oral and written) and interpersonal skills
• Proficiency in Excel and ability to understand clinical terms and descriptors

Preferred Qualifications

• Familiarity with the clinical trial start-up process
• Experience interpreting clinical trial protocols for visit schedules and treatment plans
• Knowledge of research insurance billing and coverage guidelines, such as Medicare NCD 310.1
• Experience as a Clinical Research Coordinator, particularly in oncology or medical device therapeutic areas

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