Research Revenue Cycle Compliance Specialist

AdventHealth; Orlando (FL); Remote; USD 55,000 - 75,000; Full time

Job summary

AdventHealth is seeking a Research Revenue Cycle Compliance Specialist for a full-time virtual position. This role involves ensuring compliance with clinical trial billing processes, managing research-related patient accounts, and maintaining a master list of studies. Ideal candidates should possess an associate degree and relevant experience in research or healthcare billing.

Benefits

Benefits from Day One

Paid Days Off from Day One

Qualifications

• At least one year of experience in a clinical research environment or healthcare billing/coding.
• Experience with research regulatory compliance.

Responsibilities

• Manage research-related patient visits and billing items within hospital accounting systems.
• Notify stakeholders when research patients complete a trial or are disenrolled.
• Maintain a current master list of active research studies for billing compliance.

Skills

Customer service

Compliance

Billing accuracy

Education

Associate degree in healthcare-related field

Bachelor’s degree in healthcare, administration, or research-related field

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 is about being part of something bigger. It’s about belonging to 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. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while 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 each year.

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 activities to ensure compliance of clinical trials billing processes within AdventHealth and AdventHealth Medical Group, and supporting the Office of Research Integrity & Compliance to meet federal regulations and hospital policies. The role emphasizes outstanding customer service and respectful relationships.

The value you’ll bring to the team:

• Notify all necessary parties of new clinical trials and set up research accounts in patient systems before patient recruitment begins, including coordination with IT, Revenue Cycle teams, and ancillary services.
• Manage research-related patient visits and billing items within hospital accounting systems, ensuring accurate charge delineation between research billable and non-billable items.
• Communicate charge delineation outside of the hospital systems to relevant teams using Coverage Analysis and billing grids.
• Serve as liaison between research teams and revenue cycle teams for questions related to coverage analysis, billing grids, and research visit details, utilizing the Clinical Trial Management System (CTMS).
• Notify stakeholders when research patients complete a trial or are disenrolled.
• Monitor research patient accounts for enrollment accuracy and compliance.
• Maintain a current master list of active research studies for billing compliance and management.
• Upload necessary documents for billing compliance to shared applications for easy access and timely billing.

The expertise and experiences you'll need to succeed:

Required:

• Associate degree in healthcare-related field or equivalent work experience in healthcare, clinical research, or research billing.
• At least one year of experience in a clinical research environment or healthcare billing/coding.

Preferred:

• Bachelor’s degree in healthcare, administration, or research-related field.
• 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.