[Hiring] Clinical Research Billing Specialist @University of Washington

Role Description

The Clinical Research Billing Specialist position will enable the Clinical Research Billing Manager and Lead to coordinate and engage in the planning and implementation of new processes and systems without negatively impacting day-to-day unit management, responsiveness to customer concerns, proper training of new and existing members of the team and quality control of the unit's output. This position will provide appropriate handling of customer concerns possible due to the incumbent's extensive experience. The role will assist in managing the significant change CRBB has undergone and will assist in planning for and accommodating the new work and workflows that will be outcomes of upcoming systems changes (e.g., CTMS Target 3 rollout).

• Support Billing team through day-to-day problem-solving in collaboration with or in the absence of Clinical Research Billing Manager and Lead;
• Maintain a partial portfolio of research billing review, while managing unit work assignments and performing quality control review;
• Be a day-to-day resource to the Billing team;
• Identify inconsistencies across the work product created by team members and recommend solutions in collaboration with colleagues and the unit's Manager and Lead.

Qualifications

• A Bachelor’s degree in science, business, healthcare administration or related field and at least two years related experience or equivalent combination of experience and education.
• Prior experience with Epic Resolute (Hospital and/or Professional Billing).
• Demonstrated team leadership skills. Ability to make positive contributions and work effectively and efficiently in a group environment.
• 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 understand and convey complex policy, financial and scientific/technical information in a manner that is understandable to a wide audience.
• Ability to teach and mentor others in group settings, in one-on-one sessions and remotely.
• Ability to prioritize and organize work independently in a fast-paced, high-volume setting.
• Demonstrated skill in using Microsoft Excel and Access.

Requirements

• Epic Research Billing Workflows (30%)
• Research Billing Review:
• Ensure charges route according to study billing grid, and in accordance with Epic charge documentation
• Prioritize high-dollar and aging accounts
• Charge Review and Claim Edit: Ensure research charges/claims have required coding for billing
• No Rules and other escalations: Handle research billing questions escalated from Research Billing Coordinators and other departments
• Epic Single Business Office (SBO) Research Invoicing Workflows (30%)
• Ensure timely generation of SBO invoices
• Receive and process invoice corrections, including claims of “missing” charges
• Process invoice payments
• Follow up on aging research invoices to ensure payment
• OnCore Clinical Trials Management System (CTMS)/Epic Interface (20%)
• Ensure accurate handoff from OnCore to Epic when study is activated or amended
• Ensure accurate handoff from OnCore to Epic when subject enrollment updated
• Perform Quality Control (QC) of study and enrollment records, providing feedback to study teams as needed
• Patient Claims Review (10%)
• Respond to questions regarding patients’ research study participation and the relationship to patient billing
• Escalate issues to Team Lead or Manager as appropriate
• Medicare Rules: Application and Training (10%)
• Understand and exercise independent judgment and discretion in the interpretation and application of the Medicare National Coverage Determination for Routine Costs in Clinical Trials, and all relevant UW Medicine clinical research budgeting and billing policies and procedures
• As needed, provide training and education to Clinical Research Budget & Billing (CRBB) colleagues, School of Medicine investigators, research staff and practice site staff on research billing policies, procedures and tools
• Provide excellent customer service and accurate guidance to clinical research study teams regarding clinical research billing policies and procedures
• Assist in development of content for CRBB website and outreach documents
• Assist faculty, staff and others in interpreting internal and external research billing policies

Benefits

• Pay Range Minimum: $66,000.00 annual
• Pay Range Maximum: $84,000.00 annual
• For information about benefits for this position, visit here .
• Shift: First Shift (United States of America)
• Temporary or Regular: This is a regular position
• FTE (Full-Time Equivalent): 100.00%
• Union/Bargaining Unit: Not Applicable