We are looking for a detail-oriented Medicare Biller to join our team in Lexington, Kentucky. In this long-term contract position, you will play a critical role in ensuring compliance with Medicare regulations and guidelines, particularly in the context of research billing and financial processes. This role requires collaboration with various teams to maintain billing integrity, secure adequate funding, and uphold the highest standards of fiscal compliance for research projects.<br><br>Responsibilities:<br>• Conduct comprehensive Medicare Coverage Analysis to determine appropriate billing classifications for routine and research services.<br>• Collaborate with research management, finance personnel, and study teams to secure sufficient funding from research sponsors.<br>• Advise principal investigators and departmental staff on compliant billing practices and fiscal responsibilities for research projects.<br>• Partner with revenue integrity and charge capture teams to ensure proper coding and billing processes within the electronic medical record system.<br>• Review and analyze research protocols to create accurate project-specific budgets, ensuring all procedural and labor costs are accounted for.<br>• Negotiate contracts and budgets with research sponsors to align with institutional financial policies and goals.<br>• Maintain tracking databases and provide timely updates to leadership and study teams regarding project progress.<br>• Identify and implement process improvements to enhance performance and customer satisfaction.<br>• Resolve contract and budget-related issues stemming from amendments or regulatory changes.<br>• Ensure compliance with federal, state, and local regulations affecting Medicare billing practices.

• Proven experience in medical billing, with specialization in Medicare claims.<br>• Strong understanding of CPT codes and payer denials.<br>• Familiarity with Medicare regulations, including National and Local Coverage Decisions.<br>• Ability to interpret and apply state laws and detail-oriented practice guidelines to billing processes.<br>• Experience negotiating budgets and contracts with sponsors or external service providers.<br>• Skilled in tracking and maintaining documentation for research-related billing.<br>• Excellent communication skills to effectively collaborate with multidisciplinary teams.<br>• Ability to meet deadlines and performance metrics in a fast-paced environment.

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