Supervise regulatory personnel, and responsible for overseeing daily operations, quality and timeliness of regulatory activities.
Locations (16)
Wisconsin, United States
Alabama, United States
Arizona, United States
Delaware, United States
Florida, United States
Georgia, United States
Show all 16 locations
Illinois, United States
Indiana, United States
Maryland, United States
Michigan, United States
Minnesota, United States
Missouri, United States
Compensation
Target salary range for this position is between $75,300.00 and $95,900.00 annually.
Responsibilities
Supervise staff including overseeing daily operations of the regulatory team to ensure compliance with state and federal regulations
Develop, improve, and apply standard education, processes, and procedures requiring specialized experience to assure timely, quality, and compliant work
Ensure creation and maintenance of accurate, timely and compliant regulatory records and data
Operationalize and implement proposed solutions or process improvements related to identified problems or obstacles in the system/procedures related to implementation of the research protocols
Draft, submit, and advise on regulatory submissions including but not limited to protocols, protocol summaries, amendments, protocol deviations, serious adverse and other reportable events, continuing progress reports, and consent-to-treat documents without need for supervision
Responsible for follow-up on outstanding claims, researching claim denials, composing and submitting appeals, and handling any necessary claim correspondence necessary to have a claim processed.
Responsibilities
Complete assigned tasks to meet productivity requirements for claims resolution and complete any progress in worklog tasks
Stay current with insurance payer policies as well as state and federal regulations for claim submission and reimbursement
Examine any overpayments to determine if monies need to be returned to payer or patient
Document all follow-up calls and research clearly in task notes
Compose appeal letters where needed and complete any payer forms required for submitting the appeals