Dana-Farber Cancer Institute
Boston, MA
This position is remote, with occasional onsite presence required as needed. The selected candidate will be expected to work onsite at least once per quarter and must also be available to spend one week onsite for training. The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant study-related documents to create a coverage analysis/billing guide. The coverage analysis indicates which medical procedures/services maybe 'Routine Cost' and billable to patient insurance and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and designates medical procedures/services based on relevant regulations and determinations. The Senior Medicare Coverage Analyst applies subject matter expertise to complex protocols and...
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Healthcare IT
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