Clinical Research Billing Manager

POSITION SUMMARY:

Under the general direction of the Assoc Director Clinical Research Revenue Recovery & Billing or designee, the Senior Clinical Research Operations Analyst is responsible for various operational functions associated with timely, compliant support of UMMS clinical research activities.

ESSENTIAL FUNCTIONS:

Clinical Research Management System (CTMS) - Operations

Responsible for the analysis, creation and maintenance of complex clinical research protocols, budgets and contract amendments within the CTMS.
• Collaborates with CCTS senior staff and OCR staff as needed to provide on-going review and analysis ensuring operational compliance and consistency across clinical research protocols.
• Leads the analysis of study calendar revisions within the CTMS that impact invoicing and revenue recovery, acting as a liaison with calendar build external contractors as needed.
• Oversees analysis of CTMS data to ensure complete and accurate capture of relevant information.
• Collaborates with other internal departments to ensure appropriate, detailed review and analysis of budget amendments, study subject data entry and visit information in order to facilitate accurate billing/invoicing.
• Responsible for completion of special tasks and projects that support the CTMS application footprint, inclusive of upgrade project tasks and testing.
• Responsible for maintaining clinical research charge master files within the CTMS.
• Ensures timely completion of CTMS information in all tracking systems.

Clinical Research Revenue Recovery

• Analyzes, reviews and monitors clinical research revenue recovery for all assigned protocols utilizing the CTMS to generate invoices to external sponsors.
• Responsible for the detailed review and reconciliation of assigned accounts receivable information with all relevant UMMS finance departments/divisions.
• Analyzes, interprets and resolves account balance discrepancies between sponsors and UMMS.
• Reviews, verifies and signs off on all assigned submitted clinical research account closure requests.

Clinical Research Billing

• Implements and monitors assigned relevant compliance program components (such as Medicare cost coverage analysis, billing grids, study calendars and budgets.)
• Responsible for the identification, implementation, application and maintenance of relevant federal and state regulations and local policies.
• Oversees the daily centralized monitoring of EPIC clinical research billing review que
• Actively participates with clinical partners providing regular information necessary to facilitate UMMS/UMMHC clinical research.

Education & Reporting

• Oversees relevant tasks within the TRACs intake portal, interpreting requests, ensuring timely completion and accurate tracking.
• Maintains internal reporting systems, providing analysis and metrics to senior management ensuring that metrics are captured in an accurate and timely manner.
• Based on review and evaluation of program, develops, and maintains curriculum training materials, job aids, SOPs, and policies.
• Delivers relevant training and orientation to clinical research staff/faculty.

REQUIRED QUALIFICATIONS:

• Bachelor's Degree in a related field, or equivalent experience
• Minimum 5 years of experience in a clinical research environment within a healthcare or academic organization.
• Minimum 2-3 years work-related experience required in a supervisory/management role and
• Must have the ability to work closely and effectively with a diverse group of administrators, strong interpersonal and leadership skills.
• Strong knowledge and understanding of federal, state regulation and guidance related to clinical research, specifically federal clinical research billing requirements.
• Strong analytical, computer and software skills.

PREFERRED QUALIFICATIONS:

• OnCore & EPIC experience strongly preferred.
• Experience working with clinical trial invoicing/financials preferred
• Certification in clinical research (CIP, SOCRA, ACRP or equivalent)
• OnCore Financial and Management Certifications preferred.