Clinical Research Financial Analyst - Research Billing Review

University of Chicago; Chicago (IL); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

On-site work

Job summary

The University of Chicago Office of Clinical Research is seeking a Clinical Research Financial Analyst to support revenue cycle operations, including charging, billing, and collections. You will coordinate billing activities and ensure compliance with Federal, State, and Local regulations.

Under the direction of the Associate Director Research Billing Compliance, you will promote financial compliance and prepare financial reporting for research studies, while collaborating with IRB, ROC, and

Qualifications

• Bachelor's degree in a related field or equivalent experience.
• 2-5 years of work experience in a related job discipline.
• Healthcare billing knowledge and familiarity with clinical research requirements.

Responsibilities

• Perform all research billing activities including daily charge review and payment processing.
• Conduct billing quality assurance activities and patient billing audits.
• Assist in developing training and resource materials for research billing.
• Follow SOPs and policies to ensure compliant research billing.
• Generate Epic and CTMS reports for analysis and monitoring of billing metrics.
• Collaborate with Clinical Trial Financial Group, Hospital Revenue Cycle, IRB, and study teams.

Education

Bachelor's degree in a related field

Bachelor's degree (finance / accounting / business) preferred

Tools

Epic Research Billing

CTMS (OnCore)

ERP systems

Financial software

Job description

Department

BSD OCR - Research Compliance

About the Department

The Office of Clinical Research (OCR) was created to further the missions of the University of Chicago Biological Sciences Division and the University of Chicago Medical Center by developing and supporting specific infrastructure components related to clinical and translational research. To provide the highest level of support and resources, the Office of Clinical Research is divided into two groups- the Institutional Review Board Administrative Staff (IRB) and the Research Operations and Conduct group (ROC). The OCR focuses on six key areas of service including: Human Subject Protection (IRB); Training and Education; Regulatory and Contract Oversight; Quality Assurance/Reporting and Auditing; Financial/Billing Compliance; Institutional Infrastructure.

Job Summary

The job provides professional support and solves straightforward problems in projects related to revenue cycle operations, including activities related to charging, billing, and collecting. Coordinates the management of successful billing and compliance activities with department managerial and executive staff.

The Clinical Research Financial Analyst is an integral member of the Office of Clinical Research. Under the direction of the Associate Director Research Billing Compliance, the Clinical Research Financial Analyst will promote and facilitate a culture of financial compliance through the regulatory and financial amendments to clinical research studies to ensure institutional adherence with Federal, State and Local Regulations and Guidelines.

Activities include but are not limited to supporting research revenue cycle management through research billing review, processing payments, reviewing and preparing research billing documentation, and producing research financial reporting, as well as department projects and initiatives to support research billing compliance tasks as needed.

Responsibilities

• Perform all research billing activities including, but not limited to: daily charge review, billing issue resolution, reconciliation and payment of research accounts.
• Conduct research billing quality assurance activities, such as individual patient billing audits.
• Assist in the development and design of training and resource materials related to research.
• Follow standard operating procedures and policies to ensure compliant research billing.
• Has a moderate/solid understanding of coding procedures, workflow issues, billing.
• Generates Epic and CTMS reports for analysis, monitoring and improving research billing metrics and processes.
• Effectively collaborates with Clinical Trial Financial Group, Hospital Revenue Cycle team, study teams, research subjects, IRB, and other stakeholders to address research billing challenges.
• Ensure institutional research billing compliance with Medicare's Clinical Trial Policy, federal regulations, and contractual agreements. Maintain an understanding of Medicare's Clinical Trial Policy (NCD 310.1) and related guidance documents.
• Assist in developing and maintaining polices, SOPs & SOWs related to clinical research billing process.
• Stays current on all internal processes related to research billing, Medicare, National and local, regulations and guidelines, policies and procedures governing Research billing.
• Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
• Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
• Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
• Performs other related work as needed.

Minimum Qualifications

• Education: Bachelor's degree in a related field, or an equivalent combination of education and relevant experience.
• Work Experience: 2-5 years of work experience in a related job discipline.
• Certifications: ---

Preferred Qualifications

• Education: Bachelor's degree (specialization in finance, accounting, or business administration, health information management).
• Experience: 2-4 years' experience with healthcare clinical research billing preferably in academic medical setting, clinical research management, health system operations.
• Experience: Experience with Epic Research Billing functions.
• Experience: Experience with a Clinical Trial Management system (CTMS) preferably OnCore, financial software, ERP systems.
• Experience: Accounting and finance experience strongly preferred.

Preferred Competencies

• Knowledge of the Medicare Clinical Trials Policy and other federal, state and institutional clinical research regulations.
• Expertise in CPT, Modifiers, ICD, and HCPCS codes to support billing and compliance efforts.
• Strong knowledge of clinical trial contracting, revenue recogn