University of Washington · 13 hours ago
Billing Compliance and Quality Control Analyst - Clinical Trials Office
Seattle, WA
Full-time
Onsite
Mid Level
$80K/yr - $102K/yr
3+ years expThe University of Washington is one of the nation’s premier educational and research institutions, and they are seeking a Billing Compliance & QC Analyst to support the clinical research mission of UW Medicine. This role involves performing compliance reviews of research study documents and training internal staff on processes and systems.
EducationHigher EducationUniversities
Responsibilities
Perform comprehensive and independent analysis of systems processes pertaining to CTO review workflows
Regularly update and work with the Clinical Trial Management System (OnCore), Zendesk (ZD) Customer Service Management tool, the CTO Database (CTODB), and other comprehensive electronic study documentation for each clinical research study, in compliance with UW policies, procedures and standards
Analyze, interpret and apply internal and external research billing policies, assisting faculty, study staff, and clinical managers in determining applicable review requirements and facilitating timely budget approval
Understand and exercise independent judgment and discretion in the interpretation and application of the Medicare Clinical Trial Policy, and all relevant UW Medicine clinical research budgeting and billing policies and procedures
Perform comprehensive and independent final compliance review (Summary Review) of all documents related to research study funding, including the research study budget, protocol, contractual terms, informed consent, and other supporting documentation
Review and finalize study Billing Grids, ensuring proper documentation of Coverage Analysis decisions
Provide excellent customer service and accurate guidance to clinical research study teams and keep them apprised of study status
Track studies through multiple milestone points in the CTO production database to inform analytics. Manage production tickets and communications regarding work performed in compliance with office policies, procedures, and standards
Ensure electronic and paper study files are created, updated, stored, and maintained according to established office practices, customer service standards, and UW record retention policies, from initial contact to study closeout and beyond
Effectively collaborate with and communicate important information to external investigators and research teams at partner institutions (e.g., Fred Hutchinson Cancer Center and Seattle Children’s)
Contribute to the development of the CTO website content, training materials, and SOPs
Participate in internal and interdepartmental project teams within UW Medicine as assigned
Under the guidance of the Manager and Sr. Workflow Lead, provide training for new and existing team members
Perform other clinical research finance-related duties, as required
Assist with implementing strategies to achieve and maintain the service and quality goals for the CTO Clinical Research Finance Team
Offer suggestions for optimization strategies that contribute to CTO metrics and other analytics for internal and external audiences
Perform QA, identifying root cause issues and addressing queries from clients, and escalate as appropriate to the Manager and Sr. Workflow Lead
Perform QC of workflow pathways for proper routing of studies through the start-up process
Perform QC of final compliance review (Summary Review) for team members training in the workflow
Perform QC of the Coverage Analysis work performed by a third party or internal CTO staff. Ensure Coverage Analysts have designated study items and services as non-covered research-only or covered routine, in compliance with Medicare coverage rules
Perform final QC of clinical trial budgets that have been internally developed and negotiated with pharmaceutical and biotechnology corporate sponsors, contract research organizations and other sponsor institutions
Perform data QC to ensure accuracy and alignment across multiple systems (OnCore, Epic, Zendesk, CTO Database, etc.)
Qualification
Required
A Bachelor's degree in science, business, healthcare administration or related field and at least three years' related experience or equivalent combination of experience and education
Ability to make positive contributions and work effectively and efficiently in a group environment
Working knowledge of the Medicare Clinical Trials Policy and other Federal, State and institutional clinical research regulations
Exceptional customer service skills
Strong written and oral presentation skills
Ability to communicate effectively with all levels of staff, faculty, management and collaborators
Ability to effectively prioritize and organize work independently in a fast-paced, high-volume setting
Demonstrated skill in using Microsoft Word, Excel, and Access
Preferred
Master's Degree in business or healthcare administration or related field
Experience working in OnCore or other CTMS system
Experience working with an Customer Service Management (CSM) ticketing system tool, such as Zendesk
Familiarity with electronic medical records and healthcare business systems. Experience working with web-based solutions
Experience in academic health system operations or medical setting
Benefits
For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/
Company
University of Washington
University of Washington is an educational institution that provides undergraduate, graduate, and research programs.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$215.35MKey Investors
Avista foundationNational Institute of Allergy and Infectious DiseasesAdvanced Research Projects Agency for Health
2026-01-18Grant· $10M
2025-04-21Grant· $0.01M
2024-09-13Grant
Leadership Team
Andrew S Allen
Adjunct Professor
Arthur Denny
Founder
Recent News
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