Clinical Trials Billing & Compliance Specialist

Universities of Wisconsin; Madison (WI); Hybrid; USD 59,000 - 72,000; Full time

Job summary

Universities of Wisconsin seeks a Clinical Research Billing Compliance Specialist to support accurate budgeting for trials and ensure compliance across systems, including UW Hospital and Clinics and related networks.

The role partners with investigators and study teams to analyze protocols, develop trial budgets, and lead budget negotiations while upholding regulatory standards and ethical research practices.

Qualifications

• 1-2 years of employment experience in Clinical Trial Budgeting and Medicare Coverage Analysis is required by the start date of the position.
• Associates degree in finance or accounting is required; focus in finance or accounting preferred.
• Experience in budgeting and/or post-award management is preferred.
• Experience in a medical and/or research setting is preferred.
• Experience with medical or insurance billing preferred.

Responsibilities

• Provides expert guidance when issues arise during reconciliation of unit patient charges to ensure appropriate billing.
• Provides training and resources related to research billing to study teams.
• Oversees research billing compliance activities to ensure unit is in full compliance with institutional, regional, and federal research billing compliance rules and regulations.
• Interprets complex clinical trial protocols while applying expertise in research billing rules, clinical workflows, sponsor requirements and electronic system capabilities to configure and review study calendars and budget setup for clinical trials.
• Performs Medicare coverage analysis for complex research studies to promote and confirm compliance with billing rules and regulations.
• Develops and implements internal quality control processes to ensure calendar and budget builds reflect accurate trial information and comply with research billing rules.

Education

Associates degree in finance or accounting

Job description

Universities of Wisconsin seeks a Clinical Research Billing Compliance Specialist to support accurate budgeting for trials and ensure compliance across systems, including UW Hospital and Clinics and related networks.

The role partners with investigators and study teams to analyze protocols, develop trial budgets, and lead budget negotiations while upholding regulatory standards and ethical research practices.