Research Revenue Cycle Compliance Specialist

AdventHealth Central Florida; Orlando (FL); Remote; USD 50,000 - 70,000; Full time

Job summary

AdventHealth is seeking a Research Revenue Cycle Compliance Specialist for a full-time virtual role in Orlando. This position is critical for supporting compliance activities within clinical trials billing, ensuring adherence to regulations and excellent service. The role requires expertise in research billing and communication with multiple teams to manage billing operations effectively.

Benefits

Benefits from Day One

Paid Days Off from Day One

Qualifications

• At least one year in a clinical research environment or related field.
• Experience in medical billing, coding, or revenue cycle management.
• Certification from SOCRA, ACRP, or SRA is a plus.

Responsibilities

• Manage billing compliance for clinical trials and research accounts.
• Serve as liaison between research and revenue cycle teams.
• Ensure accurate billing based on federal regulations.

Skills

Customer Service

Billing Compliance

Communication

Education

Associate degree in healthcare-related fields

Bachelor’s degree in healthcare or administration (preferred)

Job description

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One

Our promise to you:

Joining AdventHealth means being part of a community that believes in the wholeness of each person and serves to uplift others in body, mind, and spirit. AdventHealth is a place where you can thrive professionally and grow spiritually by extending the healing ministry of Christ. You will be valued for who you are and the unique experiences you bring to our purpose-minded team, understanding that together we are even better.

Schedule: Full Time, Virtual

Shift: M-F, Days

The community you’ll be caring for:

• Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando
• Serves as the major tertiary facility for much of the Southeast, the Caribbean, and South America
• Houses one of the largest Emergency Departments and cardiac catheterization labs in the country
• Provides service excellence to more than 32,000 inpatients and 125,000 outpatients annually

The role you’ll contribute:

The Research Revenue Cycle Compliance Specialist supports the Research Billing Compliance activities at the system level for all AdventHealth markets and divisions. This centralized role involves performing daily activities to ensure compliance of clinical trials billing processes within AdventHealth and AdventHealth Medical Group. You will support the Office of Research Integrity & Compliance to ensure all activities adhere to federal regulations and company policies. The role emphasizes outstanding customer service and respectful relationships.

The value you’ll bring to the team:

• Notify necessary parties of new clinical trials and ensure research accounts are set up in patient systems before patient recruitment begins, including coordinating with AIT, revenue cycle teams, and ancillary services.
• Manage research work items within hospital accounting programs, identifying research-related patient visits and communicating billing details to appropriate teams.
• Clarify and communicate charges outside the work item list, ensuring accurate billing based on coverage analysis and billing grids.
• Serve as a liaison between research teams and revenue cycle teams to resolve billing questions and facilitate accurate billing activities.
• Notify relevant parties upon research patient completion, trial termination, or disenrollment.
• Monitor research patient accounts and ensure enrollment data accuracy.
• Maintain a master list of active research studies for billing compliance and management.
• Upload and share billing compliance documents to facilitate proper billing activities.

The expertise and experiences you'll need to succeed:

Required:

• Associate degree in healthcare-related fields or equivalent work experience in healthcare, research billing, or related areas.
• At least one year of experience in a clinical research environment or research administration.
• Experience in medical billing, coding, or revenue cycle management.

Preferred:

• Bachelor’s degree in healthcare, administration, or research-related fields.
• Two or more years of experience in clinical research or research administration.
• Experience with research regulatory compliance, especially clinical trials billing.
• Certification from professional research organizations such as SOCRA, ACRP, or SRA.