Clinical Research Billing Specialist

Role Overview

The Clinical Research Billing Specialist manages billing, invoicing, and financial compliance across clinical trials. This role serves as a key financial driver, ensuring accurate sponsor invoicing, proper cost segregation between research and standard patient care, and full regulatory compliance. Operating within a hybrid model, the specialist collaborates closely with research coordinators, finance teams, and ancillary departments to maintain seamless financial operations.

Position Details

• Employment Type:
  
  Full-time (Monday - Friday, Standard Business Hours)
• Work Location:
  
  Hybrid (2-3 days in-office)
• Position Type:
  Direct Hire / Permanent

Key Responsibilities

• Clinical Trial Billing & Invoicing:
  Coordinate end-to-end billing for clinical trials, including sponsor invoicing for patient visits, study-related procedures, patient reimbursements, and third-party vendor payments aligned with trial budgets and contracts.
• Protocol & Financial Analysis:
  Review study protocols to accurately identify billable services and ensure appropriate segregation between research-funded costs and standard-of-care patient billing.
• System Management & Tracking:
  Utilize Clinical Trial Management Systems (CTMS) and financial software to track trial revenue, maintain documentation (e.g., DSA forms), and monitor outstanding accounts.
• Reconciliation & Dispute Resolution:
  Troubleshoot billing workflows and resolve financial discrepancies or claims disputes with patients, trial sponsors, and insurance providers.
• Cross-Functional Collaboration & Training:
  Conduct billing training for clinical staff, partner with revenue cycle teams, and provide operational cross-coverage for compliance specialists.
• Reporting:
  Prepare comprehensive financial reports and status updates for department leadership and the finance team.

• Experience:
  
  3+ years of billing or accounting experience in a healthcare environment.
• Education:
  
  Bachelor’s degree in Accounting, Finance, Healthcare Administration, or equivalent practical experience.
• Technical
  
  Skills:
  
  Proficiency with Electronic Health Record (EHR) systems (e.g., Epic), CTMS platforms, or specialized financial management software.

• Prior experience in clinical research billing, clinical trial budgets, or coverage analysis.
• Strong knowledge of medical terminology, healthcare reimbursement methodologies, and clinical trial compliance standards.
• Excellent analytical, problem-solving, and cross-functional communication skills.