Billing Compliance Coordinator

Title: (Homebased) Billing Compliance Coordinator

Location: United States

 Clinical

25 USD - 27 USD/hour

Job Description:

The Billing Compliance Coordinator plays a crucial role in ensuring the accurate billing of clinical trial patients. This position involves managing the financial interactions between research sponsors, insurance, Medicare, and patients. The coordinator will focus on reviewing, correcting, and maintaining compliance with research billing regulations, primarily using EPIC software.

Responsibilities

• Review patient hospital and clinic bills in Epic, ensuring charges align with the clinical trial budget.
• Verify that patient information matches between Epic and the clinical trial tracking system (CTMS).
• Collaborate with Study Coordinators to resolve billing or patient-status discrepancies.
• Activate new studies in Epic for proper patient linkage.
• Participate in compliance audits and review research billing processes for errors.
• Investigate and correct billing problems, creating corrective action plans as needed.
• Collaborate with hospital billing departments to resolve mistakes and address patient concerns about inaccurate bills.
• Review hospital charges against study budgets, ensuring billing adheres to Medicare and research billing rules.
• Track billable procedures in Excel and create invoices, sending charges to study sponsors as appropriate.
• Verify sponsors are covering research-related costs they agreed to.
• Support the Finance Manager with special projects and help implement new systems and process improvements.
• Attend meetings and training sessions, and assist with departmental initiatives and strategic planning.

Essential Skills

• 2-3 years of experience in medical coding/billing, CPT coding, and billing/compliance.
• Proficiency in EPIC software.
• Strong skills in Microsoft Office Suite, especially Excel.
• A 4-year degree is preferred.
• Optimistic and positive demeanor with strong communication skills.
• Attention to detail, open-mindedness, adaptability, curiosity, and a team-player mentality.

Additional Skills & Qualifications

• Experience in medical coverage analysis is preferred.
• Background in Clinical Research Coordinator (CRC) roles with budgeting/billing exposure.
• Experience as a Research Finance Coordinator, Medical Billing Specialist, or in Healthcare Revenue Cycle.
• Proficiency in reviewing invoices, budgets, or claims.

Work Environment

This position is 100% remote, requiring candidates to have an in-home office setup with reliable internet and preferably two screens. Candidates can reside in any of the following states: Alaska, California, Colorado, Illinois, New York, North Dakota, Ohio, Oregon, Washington, Wyoming, or any Unincorporated Territories of the US (e.g., American Samoa, Guam, Puerto Rico, Mariana Islands, and the US Virgin Islands). The work hours are Monday through Friday, from 8:00 AM to 4:30 PM.

Job Type & Location

This is a Contract position based out of Atlanta, GA.

Pay and Benefits

The pay range for this position is $25.00 - $27.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.