CHEManager International · 16 hours ago
Research Finance Specialist II, Center for Clinical Research (Hybrid)
Cleveland, OH
Full-time
Hybrid
Mid Level
3+ years expCHEManager International is seeking a Research Finance Specialist II for the Center for Clinical Research. The role involves ensuring compliant research billing practices and providing guidance on research patient billing matters while managing clinical project budgets and resolving research claim denials.
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Responsibilities
Ensure compliant research billing practice for assigned department(s) at University Hospitals Cleveland Medical Center and UHHS, including comprehensive knowledge & application of CMS regulations, maintaining UH billing standards, and record maintenance including accurate grant reporting. (45%)
Demonstrate efficient task performance, high level of organization and the maintenance of accurate administrative records, including database entries and reporting, to meet management goals. (15%)
Through effective communication, provides guidance to colleagues and assists department research personnel in research patient billing matters. (10%)
Develop patient care clinical project budgets which meet compliance and fiscal standards, utilizing thorough knowledge of coverage analysis and budgeting principles. Assist in negotiation of budget with Sponsor. (30%)
Partner with revenue cycle to assist with resolving research claim denials, manage third party insurance issues, and independently process complex research claims according to CMS or private payor rules to ensure maximum payment recovery on outstanding billing. (30%)
Performs other duties as assigned
Complies with all policies and standards
For specific duties and responsibilities, refer to documentation provided by the department during orientation
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace
Qualification
Required
Bachelor's Degree in finance, healthcare or related field (management, nursing, biology)
3+ years demonstrated success with research administration in a health-care environment
1+ years demonstrated success in research patient care billing to include accurate charge segregation according to Medicare coverage regulations
Must have in-depth knowledge of research financial process
Essential skills include excellent organizational, communication, and trouble-shooting skills
Strong analytical skills are needed to assess coverage analysis, interpret and reconcile research charges, and assure accurate grant reporting
Strong communication skills are for mentoring junior colleagues
Proficiency and technical skills with MS Office
Knowledge of federal and state laws and regulations governing research billing and grant management
Knowledge of CMS and affiliate billing standards to ensure accurate processing of complex claims involving Radiation Therapy, Chemotherapy and Immunotherapy
Preferred
Prefer proficiency and technical skills with OnCore, Oracle, Velos and Soarian applications
Company
CHEManager International
Wiley’s leading media brand providing first-hand information on the global chemical, life science and process industries
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase