Clinical Research Billing Analyst

OSF HealthCare; Peoria (IL); On-site; USD 70,000 - 82,000; Full time

Job summary

OSF HealthCare is seeking a Clinical Research Billing Analyst I to oversee Medicare Coverage Analysis (MCA) and billing for clinical trials within a regulated environment. You will support study start-ups, align budgets with trial scopes, and ensure regulatory adherence.

The role includes reviewing MCAs against protocols, providing financial insights for new grants, managing post-award funds, and overseeing invoicing and cash flow for funded trials.

Qualifications

• Bachelor's degree in Biological/Life Sciences, Business Administration, Finance/Accounting, or related field.
• 3 years healthcare, research, finance/accounting, or business administration experience.
• Proficiency with Microsoft software and strong interpersonal communication.

Responsibilities

• Oversee MCA and billing processes for clinical trials to ensure regulatory compliance.
• Collaborate with cross-functional teams to align budgets with trial scopes and start-ups.
• Provide financial insights for new grant proposals and post-award fund management.

Skills

Interpersonal skills

MS Office

Analytical thinking

Data interpretation

Medical terminology

Training & education

Teamwork & change management

Customer service

Education

Bachelor's degree

Tools

CTMS

Job description

Total Rewards

OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. to learn more about benefits and the total rewards at OSF.

Expected pay for this position is $33.52 - $39.44/hour. Actual pay will be determined by experience, skills and internal equity. This is a Salaried position.

Overview

**Please note. H1B Sponsorship is not available for this role.**

POSITION SUMMARY:

As a pivotal member of our clinical research team, the Clinical Research Billing (CRB) Analyst I plays a crucial role in overseeing the financial aspects of clinical trials within our highly regulated field. This role involves compiling and analyzing diverse data, particularly focusing on Medicare Coverage Analysis (MCA), to ensure compliance with strict industry regulations. Collaborating with cross-functional teams, the Analyst supports study start-ups, aligning budgets with trial scopes and ensuring regulatory adherence. Additionally, they meticulously review MCAs against protocols, ensuring accurate billing. Beyond these responsibilities, the Analyst provides financial insights for new research grants, manages industry and grant funds post-award, and oversees invoicing and cash flow for funded trials. They manage research financial data, conduct comprehensive analyses, and provide essential education and support to research operations staff regarding finance, billing processes, policies, and regulations. This role also involves spearheading special projects and quality assurance initiatives for timely invoicing and efficient monetary tracking.

#remote near OSF facility.

Qualifications

REQUIRED QUALIFICATIONS:

Education: Bachelor's degree in Biological/Life Sciences, Business Administration, Finance/Accounting, or other closely related field.

Experience: Three years healthcare, research (clinical and/or administration), general finance/accounting, and/or business administrative experience.

Licensure/ Certification: N/A

Other Skills/

• Knowledge: Excellent interpersonal and communication skills Solid computer skills, including proficiency with Microsoft software
• Strong analytical and problem-solving skills, with the ability to be detail oriented
• Proficient in Microsoft Office Suite
• Demonstrated ability to gather, assemble, interpret, and use complex data to develop actionable steps that will improve processes and optimize results
• General understanding of medical terminology
• Demonstrated ability to train individuals and provide education to small groups Team building and change management Customer Service

PREFERRED QUALIFICATIONS:

Education: N./A Experience:

• Research Administration and Regulations within our niche industry Medicare Clinical Trial Policy, Medicare billing rules, Medicare Coverage Analysis within our specialized regulatory framework.
• Clinical trial budget development & negotiations
• Research related Electronic Medical Record (EMR) Revenue cycle management Research-related coding with a deep understanding of our industry’s coding standards.
• Accounts receivable and Accounts payable experience Service line profitability and margin reporting Project Management/Strategic
• Planning Policy/Standard Operating Procedure/Working Process Writing/Maintenance Experience in large, multicenter health system

Licensure/ Certification: Any research-related certification

Other Skills/ Knowledge: Basic knowledge and understanding of the regulatory, operational, logistical, and administrative requirements of clinical research studies. Clinical Trial Management Systems (CTMS) and/or other research software systems. Basic knowledge of research regulations (e.g. IRB, FDA, OHRP, GCP, etc.)

OSF HealthCare is an Equal Opportunity Employer.