PFS Clinical Trials Billing Analyst

Partners Consulting; Philadelphia (Philadelphia County); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a detail-oriented Clinical Trials Billing Analyst to join their dynamic team. This pivotal role involves ensuring accurate clinical trials billing records and compliant charge routing while acting as a subject matter expert in Epic research billing protocols. The successful candidate will collaborate with study teams, maintain billing IT work lists, and support the timely implementation of system builds. If you have a strong background in clinical research and healthcare IT, along with excellent analytical and communication skills, this is your chance to make a significant impact in a vital area of healthcare research.

Qualifications

• 3+ years of clinical research or healthcare IT experience preferred.
• EPIC certification and strong understanding of research billing processes required.

Responsibilities

• Ensure accurate clinical trials billing records and compliant charge routing.
• Act as a subject matter expert in Epic research billing protocols.

Skills

Clinical Research Knowledge

Interpersonal Skills

Analytical Skills

Communication Skills

Organizational Skills

Education

High School Diploma / GED

Bachelor's Degree in Accounting, Finance, or related field

Tools

EPIC

OnCore

MS Office

Job description

Title: PFS Clinical Trials Billing Analyst

Location: Remote (Philadelphia, PA)
Type: Contract

Our client is seeking a Patient Financial Services (PFS) Clinical Trials Billing Analyst.

Reporting to the Manager or Supervisor in PFS, the Clinical Trials Billing Analyst plays a vital role in the success of the research billing program. This role will ensure that there are accurate clinical trials billing records, compliant charge routing, and accurate grant payments for all billing studies.

Acting as a subject matter expert in Epic research billing protocols (PRL), this person will interact with study team members and research billing staff to complete research records in Epic. Also will maintain Clinical Trials Billing IT work lists and aid in the timely implementation of system build.

The Clinical Trials Billing Analyst must complete and maintain the following Epic coursework to be eligible for this position: Prereqs: GEN006, GEN606, PRE051 and PRE052; Research Fundamentals (RSH100); Research Billing - Billing Tools (RSH405) and User and Security Basics (CLN205v). The Research Billing Certification must be maintained.

Key Accountabilities:

1. Complete Epic research billing protocols for all new CHOP Billing clinical trials. Design and build records through collaborating with study start-up staff, validation of interfaced data from OnCore Clinical Trial Management System, and incorporate payer guidelines to ensure accurate coding of procedures.
2. Actively participate in study initiation meetings as scheduled to ensure that the study calendar of events, research billing protocol and RSH record have all the needed information to meet myriad research billing regulations.
3. Maintain and revise research billing protocols through collaboration and analysis of study billing reports. Manage the documentation, resolution and completion of identified research billing grid revisions – sharing progress and results with leaders, end users and stakeholders.
4. Identify research process deviations and raise issues or risks when discovered, providing hands-on support to the Epic Clinical Trials Billing Team and research study teams; assisting with on-going knowledge transfer and training of Clinical Trials Specialists/Billers.
5. Maintain Epic's Research Billing Certification through ongoing testing and review of release notes related to current and new functionality. Report, document and escalate issues. Provide system IT support including the analysis, prioritization and implementation of requested changes, as assigned.

Required Skills:

1. High school diploma / GED is required.
2. Bachelor's degree in Accounting, Finance, Economics, Business Administration, or a related field is preferred.
3. 3+ years of clinical research and/or healthcare IT experience is preferred.
4. EPIC certification required: EPIC Research Support Project with Billing Tools Emphasis.
5. EPIC and OnCore experience is preferred.
6. Certified Revenue Cycle Representative (CRCR) is preferred.
7. Hospital Business Institute (HBI) certification is preferred.
8. Strong understanding of clinical research processes and patient workflows, including IRB study approval, patient enrollment, encounter registration, research billing review, grant payment processing and insurance claim form requirements.
9. Ability to recognize the impact of myriad Epic system settings on research billing workflows and experience developing testing plans prior to implementation.
10. Excellent interpersonal and communication skills, and demonstrated organizational abilities.
11. High level of analytical ability and strong knowledge of system analysis and data gathering techniques.
12. Ability to work independently towards specific goals and objectives and provide recommendations for improvement.
13. Strong organizational and multi-tasking skills to apply toward high-priority assignments in order to meet established deadlines.
14. Proficient computing skills, specifically healthcare-related billing platforms and MS Office products. Reporting abilities through business objects, crystal reporting, etc.