[Remote] Financial Analyst I OCR

Note: The job is a remote job and is open to candidates in USA. Advocate Aurora Health is a leading nonprofit integrated health system in the United States, and they are seeking a Clinical Research Financial Analyst I to join their Office of Clinical Research. This entry-level position involves analyzing research study documentation and interpreting applicable Federal regulations to perform Medicare Coverage Analysis under the direction of a Pre-Award Finance Manager.

Responsibilities

• 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
• 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
• 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)
• 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
• Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to accepted coverage, billing and reimbursement policies and standards
• 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
• As needed, develops OnCore Billing Grid to assist in clinical research billing process and ensure compliant billing
• Primary user of OnCore; use of EPIC as necessary
• 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
• Demonstrates responsibility for personal development by participating in continuing education offerings
• Performs other related duties incidental to work described herein

Skills

• Bachelor's degree in Business, Accounting, Finance or a related field with 0-1 years of relevant experience in clinical research or research administration
• Minimum of 1-year Business Office experience in a healthcare environment or Research Office experience preferred
• Excellent oral and written communication skills
• Excellent phone etiquette and internal/external customer service skills
• 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
• Minimum of 1-year Business Office experience in a healthcare environment or Research Office experience preferred
• Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Revenue Cycle Representative (CRCR) preferred

Benefits

• Benefits Eligible: Yes
• Remote position.
• 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
• 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

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