Financial Analyst I OCR

Remote position.

Pay Range

The Wake Forest School of Medicine and Advocate Health enterprise is a top 50 national academic medical center and world class health system with an extramurally funded research portfolio of over $300M annually. We bring together high quality health care with innovative research as an academic learning health system with the goal of improving the health of our patients and communities we serve.

The department of Research Administration is a unified research entity comprised of over 300 teammates structured to provide outstanding research administration support in all research domains (e.g. basic, clinical, population) across the enterprise. The Research Administration department supports investigators and research teams through the provision of creative tools and services while maintaining the highest standards of customer service and promoting a safe, compliant and ethical research environment.

JOB SUMMARY:

The Clinical Research Financial Analyst I is a position that resides in the Office of Clinical Research (OCR). Under the direction of a Pre-Award Finance Manager, the position is an entry-level performer of clinical research administration functions and activities Under general supervision, the Clinical Research Financial Analyst I analyzes research study documentation and interprets applicable Federal regulations to perform Medicare Coverage Analysis.

EDUCATION/EXPERIENCE:

1. Bachelor's degree in Business, Accounting, Finance or a related field with 0-1 years of relevant experience in clinical research or research administration.

2. Minimum of 1-year Business Office experience in a healthcare environment or Research Office experience preferred.

LICENSURE, CERTIFICATION, and/or REGISTRATION: Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Revenue Cycle Representative (CRCR) preferred.

ESSENTIAL FUNCTIONS:

1. Reviews complex study protocols, sponsor agreements, informed consent forms and related documents as needed to determine whether a study is a “qualifying clinical trial” based on Medicare and Medicaid regulations.

2. Reviews study documentation and applicable American Medical Association (AMA) or Centers for Medicare & Medicaid Services (CMS) guidelines to determine the appropriate Current Procedure Terminology (CPT) or Healthcare Common Procedure

Coding System (HCPCS) for each test/procedure required by the research study protocol.

3. Analyzes and interprets Medicare benefit policies, coverage determinations, and other applicable regulations in conjunction with the study documentation to determine the appropriate payer for each test/procedure required by the research protocol. Applies such interpretation in order to prepare Medicare Coverage Analysis (MCA).

4. Collaborates with the Principal Investigator, the clinical research team and other Pre-Award Finance team members to finalize the MCA and designate funding sources for research costs.

5. Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to accepted coverage, billing and reimbursement policies and standards.

6. As needed, develops a comprehensive cost analysis for the clinical research study when preparing the initial study budget to assist budget negotiations with pharmaceutical companies, device manufacturers and other study sponsor.

7. As needed, develops OnCore Billing Grid to assist in clinical research billing process and ensure compliant billing.

Systems Support

1. Primary user of OnCore; use of EPIC as necessary.

General Support

1. Prioritizes job tasks; demonstrates willingness to assist Manager/Director in the completion of special projects and daily tasks to support the Department’s productivity and efficiency.

2. Demonstrates responsibility for personal development by participating in continuing education offerings.

3. Performs other related duties incidental to work described herein.

SKILLS/QUALIFICATIONS:

· Excellent oral and written communication skills. Excellent phone etiquette and internal/external customer service skills, required.

· Strong interpersonal skills and attention to detail.

· Experience with computerized databases (e.g., Microsoft Excel), word processing (e.g., Microsoft Word), and presentation software (e.g., Microsoft PowerPoint).

· Demonstrates ability to work independently.

WORK ENVIRONMENT:

Remote

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.