Clinical Research Billing Compliance Specialist

Responsibilities

• Develop and implement internal quality control processes to ensure calendar and budget builds reflect accurate trial information and comply with research billing rules.
• Perform Medicare coverage analysis for complex research studies to promote and confirm compliance with billing rules and regulations.
• Work with study teams to ensure compliance.
• Interpret complex clinical trial protocols while applying expertise in research billing rules, clinical workflows, sponsor requirements, and electronic system capabilities to configure and review study calendars and budget setup for clinical trials.
• Oversee research billing compliance activities to ensure the unit is in full compliance with institutional, regional, and federal research billing compliance rules and regulations.
• Advise researchers on the proper set up and execution of billing activities for patients on clinical trials.
• Provide training and resources related to research billing to study teams.
• Provide expert guidance when issues arise during reconciliation of unit patient charges to ensure appropriate billing.
• Identify and implement changes in clinical trial protocol calendar set up as needed.

• 1–2 years of employment experience in Clinical Trial Budgeting and Medicare Coverage Analysis (required by the start date).
• Experience with budgeting and/or post-award management.
• Experience in a medical and/or research setting.
• Experience with medical or insurance billing preferred.
• Associate’s degree required; a focus in finance or accounting preferred.