Clinical Research Billing Analyst

Summary

OSF HealthCare is seeking a Clinical Research Billing Analyst I to support the financial administration of clinical trials. The role analyzes Medicare Coverage Analyses, supports study start-ups, manages research funds and invoicing, ensures billing and regulatory compliance, and provides financial education and operational support to research staff.

Responsibilities

• As a pivotal member of our clinical research team, the Clinical Research Billing (CRB) Analyst I plays a crucial role in overseeing the financial aspects of clinical trials within our highly regulated field
• This role involves compiling and analyzing diverse data, particularly focusing on Medicare Coverage Analysis (MCA), to ensure compliance with strict industry regulations
• Collaborating with cross-functional teams, the Analyst supports study start-ups, aligning budgets with trial scopes and ensuring regulatory adherence
• Additionally, they meticulously review MCAs against protocols, ensuring accurate billing
• Beyond these responsibilities, the Analyst provides financial insights for new research grants, manages industry and grant funds post-award, and oversees invoicing and cash flow for funded trials
• They manage research financial data, conduct comprehensive analyses, and provide essential education and support to research operations staff regarding finance, billing processes, policies, and regulations
• This role also involves spearheading special projects and quality assurance initiatives for timely invoicing and efficient monetary tracking

Skills

• Education: Bachelor's degree in Biological/Life Sciences, Business Administration, Finance/Accounting, or other closely related field
• Experience: Three years healthcare, research (clinical and/or administration), general finance/accounting, and/or business administrative experience
• * Knowledge: Excellent interpersonal and communication skills Solid computer skills, including proficiency with Microsoft software
• * Strong analytical and problem-solving skills, with the ability to be detail oriented
• * Proficient in Microsoft Office Suite
• * Demonstrated ability to gather, assemble, interpret, and use complex data to develop actionable steps that will improve processes and optimize results
• * General understanding of medical terminology
• * Demonstrated ability to train individuals and provide education to small groups Team building and change management Customer Service
• * Research Administration and Regulations within our niche industry Medicare Clinical Trial Policy, Medicare billing rules, Medicare Coverage Analysis within our specialized regulatory framework
• * Clinical trial budget development & negotiations
• * Research related Electronic Medical Record (EMR) Revenue cycle management Research-related coding with a deep understanding of our industry's coding standards
• * Accounts receivable and Accounts payable experience Service line profitability and margin reporting Project Management/Strategic
• * Planning Policy/Standard Operating Procedure/Working Process Writing/Maintenance Experience in large, multicenter health system
• Licensure/ Certification: Any research-related certification
• Other Skills/ Knowledge: Basic knowledge and understanding of the regulatory, operational, logistical, and administrative requirements of clinical research studies. Clinical Trial Management Systems (CTMS) and/or other research software systems. Basic knowledge of research regulations (e.g. IRB, FDA, OHRP, GCP, etc.)

Qualifications

Must Haves

• Education: Bachelor's degree in Biological/Life Sciences, Business Administration, Finance/Accounting, or other closely related field
• Experience: Three years healthcare, research (clinical and/or administration), general finance/accounting, and/or business administrative experience
• * Knowledge: Excellent interpersonal and communication skills Solid computer skills, including proficiency with Microsoft software
• * Strong analytical and problem-solving skills, with the ability to be detail oriented
• * Proficient in Microsoft Office Suite
• * Demonstrated ability to gather, assemble, interpret, and use complex data to develop actionable steps that will improve processes and optimize results
• * General understanding of medical terminology
• * Demonstrated ability to train individuals and provide education to small groups Team building and change management Customer Service

Nice to Haves

• * Research Administration and Regulations within our niche industry Medicare Clinical Trial Policy, Medicare billing rules, Medicare Coverage Analysis within our specialized regulatory framework
• * Clinical trial budget development & negotiations
• * Research related Electronic Medical Record (EMR) Revenue cycle management Research-related coding with a deep understanding of our industry's coding standards
• * Accounts receivable and Accounts payable experience Service line profitability and margin reporting Project Management/Strategic
• * Planning Policy/Standard Operating Procedure/Working Process Writing/Maintenance Experience in large, multicenter health system
• Licensure/ Certification: Any research-related certification
• Other Skills/ Knowledge: Basic knowledge and understanding of the regulatory, operational, logistical, and administrative requirements of clinical research studies. Clinical Trial Management Systems (CTMS) and/or other research software systems. Basic knowledge of research regulations (e.g. IRB, FDA, OHRP, GCP, etc.)

Benefits

• Remote work near an OSF facility