Remote RCM Research Specialist — Trial Billing & Analytics

OneOncology, LLC; United States; Remote; USD 65,000 - 95,000; Full time

Job summary

OneOncology, LLC is seeking a RCM Research Specialist to ensure compliant protocol review and accurate billing for clinical trials. You will develop non-billable grids, track enrollments, and provide reporting support across GHCR, Regimen, and Billing teams.

You will coordinate with IT to set up non-FDA-approved drugs in EMR and Practice Management Systems, maintain protocol logs, and prepare enrollment and billing reports for leadership.

Qualifications

• High school diploma or GED required.
• Minimum of five (5) years of experience in healthcare or managed care.
• Experience with statistical and financial analysis preferred.
• Any prior experience with Clinical Trials preferred.
• Proficiency with computer systems and Microsoft Office applications, including Outlook, Word, Excel, etc.

Responsibilities

• Review new or amended clinical trial protocols to ensure content meets practice requirements and payer policies.
• Return protocols to GHCR/OneR with applicable information for review and feedback.
• Review regimen builds for all clinical trial protocols in the EMR to ensure accurate billing of billable and non-billable services.
• Develop and maintain a non-billable grid for each protocol, including applicable footnotes to support billing and reporting.
• Create drug inventory custom research codes and distribute them to Billing for review and inclusion in claim edits.
• Coordinate with IT regarding setup of non-FDA-approved drugs within the EMR, Drug Inventory, and Practice Management Systems.
• Document new study protocol information, including study open and termination dates, in the Practice Management System.
• Maintain clinical trial protocol logs and tracking spreadsheets.
• Review protocol amendments, update non-billable grids, and communicate changes to Billing and other appropriate departments.
• Perform monthly comparisons of clinical trial enrollment figures, identify discrepancies, and make necessary corrections.
• Prepare and submit financial invoices to Accounting or OneR to support accurate billing.
• Prepare physician enrollment reports and distribute them to Accounting and Leadership.
• Maintain clinical trial enrollment information in the Practice Management System.
• Assist with clinical trial billing and protocol-related questions.
• Prepare monthly clinical trial reports and other reports as needed.
• Audit billing to ensure adherence to clinical trial billing guidelines.

Skills

Healthcare policies

Contracts & utilization

Computer systems

Medical terminology

Data gathering & reporting

Problem solving

Written and verbal communication

Telephone etiquette

Independent work

Claim resolution

Education

High school diploma or GED

5+ years healthcare/managed care experience

Clinical Trials experience preferred

MS Office proficiency

Tools

EMR systems

Practice Management System

Microsoft Excel

Job description

OneOncology, LLC is seeking a RCM Research Specialist to ensure compliant protocol review and accurate billing for clinical trials. You will develop non-billable grids, track enrollments, and provide reporting support across GHCR, Regimen, and Billing teams.

You will coordinate with IT to set up non-FDA-approved drugs in EMR and Practice Management Systems, maintain protocol logs, and prepare enrollment and billing reports for leadership.