Sr. Clinical Research Billing Compliance Analyst
University of ChicagoAbout the role
Department
BSD OCR - Research Compliance
About the Department
The mission of the Office of Clinical Research is to catalyze clinical research by providing expertise, resources, infrastructure, and systems that facilitate clinical research operations and enable collaboration across the enterprise while promoting compliance and human subject protection on behalf of our diverse community of patients and volunteers. Together, we elevate the human experience with knowledge and health care.
Job Summary
Activities include but are not limited to supporting research revenue cycle management through research billing review, processing payments, reviewing and preparing research billing documentation, and producing research financial reporting, as well as department projects and initiatives to support research billing compliance tasks as needed.
The job coordinates projects in monitoring the operating and capital budgets for divisions and/or University-wide administrative units. At the instruction of others, performs work that contributes to development of long and short term financial goals, business strategies/plans, and financial forecasts/models for major service programs and initiatives. Utilizes moderate knowledge of finance to help coordinate quarterly and year-end reporting for the operating budget.
Responsibilities
Perform all research billing activities including, but not limited to: daily charge review, billing issue resolution, reconciliation and payment of research accounts.
Conduct research billing quality assurance activities, such as individual patient billing audits, study audits, device audits and validation of data and information contained within institutional systems (e.g., Epic, IRB system, clinical trial management system, etc.).
Assist in the development and design of training and resource materials related to research billing and financial management in collaboration with others in the office.
Follow standard operating procedures and policies to ensure compliant research billing as mandated by regulatory agencies (FDA, OHRP, OIG, CMS).
Generates Epic and CTMS reports for analysis, monitoring and improving research billing metrics and processes.
Effectively collaborates with Clinical Trial Financial Group, Hospital Revenue Cycle team, study teams, research subjects, IRB, and other stakeholders to address research billing challenges.
Ensure institutional research billing compliance with Medicare's Clinical Trial Policy, federal regulations, and contractual agreements. Maintain an understanding of Medicare's Clinical Trial Policy (NCD 310.1) and related guidance documents.
Assist in developing and maintaining polices, SOPs & SOWs related to clinical research billing process.
Stays current on all internal processes related to research billing, Medicare, National and local, regulations and guidelines, policies and procedures governing Research billing.
Provides professional support as a primary account administrator for account owners in an intensive customer service environment.
Analyzes and prepares budgets, creates accounts, and works with the financial accounting system to allocate, authorize, monitor, and control expenses.
Prepares monthly reports, conducts and correct errors in accounts using existing procedures that are in place, and provides advice on the financial impact of human resources and academic affairs decisions.
Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related field.
Work Experience:
Certifications:
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Preferred Qualifications
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