Sr. Clinical Research Billing Compliance Analyst
University of Chicago
Department
BSD OCR - Research Compliance
About the Department
The mission of the Office of Clinical Research is to catalyze clinical research by providing expertise, resources, infrastructure, and systems that facilitate clinical research operations and enable collaboration across the enterprise while promoting compliance and human subject protection on behalf of our diverse community of patients and volunteers. Together, we elevate the human experience with knowledge and health care.
Job Summary
Activities include but are not limited to supporting research revenue cycle management through research billing review, processing payments, reviewing and preparing research billing documentation, and producing research financial reporting, as well as department projects and initiatives to support research billing compliance tasks as needed.
The job coordinates projects in monitoring the operating and capital budgets for divisions and/or University-wide administrative units. At the instruction of others, performs work that contributes to development of long and short term financial goals, business strategies/plans, and financial forecasts/models for major service programs and initiatives. Utilizes moderate knowledge of finance to help coordinate quarterly and year-end reporting for the operating budget.
Responsibilities
Perform all research billing activities including, but not limited to: daily charge review, billing issue resolution, reconciliation and payment of research accounts.
Conduct research billing quality assurance activities, such as individual patient billing audits, study audits, device audits and validation of data and information contained within institutional systems (e.g., Epic, IRB system, clinical trial management system, etc.).
Assist in the development and design of training and resource materials related to research billing and financial management in collaboration with others in the office.
Follow standard operating procedures and policies to ensure compliant research billing as mandated by regulatory agencies (FDA, OHRP, OIG, CMS).
Generates Epic and CTMS reports for analysis, monitoring and improving research billing metrics and processes.
Effectively collaborates with Clinical Trial Financial Group, Hospital Revenue Cycle team, study teams, research subjects, IRB, and other stakeholders to address research billing challenges.
Ensure institutional research billing compliance with Medicare's Clinical Trial Policy, federal regulations, and contractual agreements. Maintain an understanding of Medicare's Clinical Trial Policy (NCD 310.1) and related guidance documents.
Assist in developing and maintaining polices, SOPs & SOWs related to clinical research billing process.
Stays current on all internal processes related to research billing, Medicare, National and local, regulations and guidelines, policies and procedures governing Research billing.
Provides professional support as a primary account administrator for account owners in an intensive customer service environment.
Analyzes and prepares budgets, creates accounts, and works with the financial accounting system to allocate, authorize, monitor, and control expenses.
Prepares monthly reports, conducts and correct errors in accounts using existing procedures that are in place, and provides advice on the financial impact of human resources and academic affairs decisions.
Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related field.
Work Experience:
Certifications:
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Preferred Qualifications
Experience:
2-4 years’ experience with healthcare clinical research billing preferably in academic medical setting, clinical research management, health system operations.
Experience with Epic Research Billing functions.
Experience with a Clinical Trial Management system (CTMS) preferably OnCore, financial software, ERP systems.
Accounting and finance experience strongly preferred.
Preferred Competencies
Knowledge of the Medicare Clinical Trials Policy and other federal, state and institutional clinical research regulations.
Expertise in CPT, Modifiers, ICD, and PCS codes to support billing and compliance efforts.
Strong knowledge of clinical trial contracting, revenue recognition principles, and relevant regulatory guidelines (e.g., ICH-GCP).
Excellent attention to detail and analytical skills, with a focus on accuracy in financial operations.
Strong communication and interpersonal skills for effective collaboration with cross-functional teams and external partners.
Working Conditions
Office Environment.
Application Documents
Resume (required)
Cover Letter (required)
When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.
Job Family
Role Impact
Scheduled Weekly Hours
Drug Test Required
Health Screen Required
Motor Vehicle Record Inquiry Required
Pay Rate Type
FLSA Status
Pay Range
The included pay rate or range represents the University’s good faith estimate of the possible compensation offer for this role at the time of posting.
Benefits Eligible
The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.
Posting Statement
The University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.
Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form.
All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.
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