UNIV - Research Finance Billing Compliance Analyst - Hollings Cancer Center

Job Description Summary

Hollings Cancer Center (HCC) Finance Billing Compliance Analyst is responsible for the review and research billing compliance set-up for all federal, industrial and institutional cancer clinical trials managed within the HCC Clinical Trials Office (CTO).

This role reports up to the HCC CTO Finance Manager and works collaboratively with the finance unit’s teams and other HCC CTO Units. This role requires excellent communication and organization skills to independently handle multiple projects with accuracy and timeliness.

Entity

Medical University of South Carolina (MUSC - Univ)

Worker Type

Employee

Worker Sub-Type​

Research Grant

Cost Center

CC001332 HCC CTO Administration

Pay Rate Type

Hourly

Pay Grade

University-GEN08

Pay Range

45,300.00 - 61,100.00 - 77,000.000

Scheduled Weekly Hours

40

Work Shift

Job Description

Summary:

Hollings Cancer Center (HCC) Finance Billing Compliance Analyst is responsible for the review and research billing compliance set-up for all federal, industrial and institutional cancer clinical trials managed within the HCC Clinical Trials Office (CTO).

This role reports up to the HCC CTO Finance Manager and works collaboratively with the finance unit’s teams and other HCC CTO Units. This role requires excellent communication and organization skills to independently handle multiple projects with accuracy and timeliness.

Responsibilities:

35% Research Billing Compliance Creation for New Studies: Supports the study team from the time any new study moves into the approval processing. This role will review the study documents, initiate the requests for a Prospective Reimbursement Analysis (PRA) also known as the Medicare Coverage Analysis (CA), and ensure that documents are properly saved and archived per policy. It is essential that this role utilize the Clinical Trials Management System (CTMS) to record activity and comment updates along with participating in relevant meetings to communicate to supervisor, study team, and Principal Investigator (PI) the status of the PRA request. This role will communicate per policy to the PI the received PRA and track the PI’s review and approval of the document. After the notification that the study has been pushed to the University’s system called SPARC Request (Services, Pricing, & Application for Research Centers), this role will begin the creation of the important research billing compliance grid that outlines the study procedures and proper billing designations per the PRA documents. This role will maintain awareness of study priorities and deadlines and ensure that research billing grids are completed on time per the study’s target completion dates. Any challenges or delays should be proactively communicated to the supervisor and/or PI. As the billing grid will drive proper research payments per federal regulations, it is important that this role understand local and federal policies and assure that the billing designations, procedures and quantities are aligned with the current protocol and associated PRA. This role will also assist with the initial request for any study specific Investigational Drug Service request in SPARC. This will be done once the study moves into the approval processing and study specific requirements are assessed by the HCC Resource Allocation and Feasibility Team (RAFT) reviewers and operational decisions are documented within the Protocol Ancillary Decisions and Logistics (PADL) form. This role is responsible for reviewing the PADL form and if required, this role will initiate the IDS initial request per the details outlined by the PADL.

35% Research Billing Compliance Maintenance: Supports the study team from the time of any study in which an amendment is received. This role will review the study documents, and if required, initiate the requests for a Prospective Reimbursement Analysis (PRA) also known as the Medicare Coverage Analysis (CA), and ensure that documents are properly saved and archived per policy. It is essential that this role utilize the Clinical Trials Management System (CTMS) to record activity and comment updates along with participating in relevant meetings to communicate to supervisor, study team, and Principal Investigator (PI) the status of the PRA request. This role will communicate per policy to the PI the received PRA and track the PI’s review and approval of the document. After approval confirmation has been received this role will begin the revision of the research billing compliance grid the University’s system called SPARCRequest (Services, Pricing, & Application for Research Centers) that outlines