The Clinical Trials Billing Specialist is an important part of the Research Team at OOS and responsible for reviewing charges, coding, system build of clinical trials, billing compliance and auditing related to clinical trial charges. Essential Job Functions Build clinical trial protocols in practice management system based on coverage analysis Compare charges against coverage analysis breakdown to determine clinical trial versus standard of care billing and bill charges accordingly Review charges and codes prior to submitting claims to either insurance or sponsor for compliance Complete prior authorization of services according to insurance guidelines prior to clinical trial services Perform reviews of
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