About the Role

This role will support research financial processes across Loyola Medicine service lines. This role is critical to ensuring accurate charge segregation, maintaining research billing compliance, managing Medicare Coverage Analyses (MCA), and resolving billing disputes.

What You’ll Do

• Perform charge segregation and corrections in alignment with approved Medicare Coverage Analyses (MCA)
• Manage research financial workflows, including statement review and resolution of disputed charges
• Identify and escalate high-risk studies and potential audit concerns
• Independently review, update, and amend Medicare Coverage Analyses based on clinical trial documentation
• Maintain and update research fee schedules
• Assist in identifying and validating CPT codes for r...