Clinical Research Billing Analyst (Finance)
Dept Number/Name: 0-6001-005 / HSC Office of Research
College Division: USFHealth-Office of Research
Salary Plan: Administrative
Job Code/Title: 8777 / Clinical Research Billing Analyst
Position Number: 00058789
ORGANIZATIONAL SUMMARY:
The mission of the Office of Clinical Research (OCR) is to provide faculty with resources, information and expertise in clinical research to advance the science of healthcare. The OCR facilitates the process of conducting clinical research, from inception through completion, with the ultimate goal of delivering state of the art healthcare services to the community in the Greater Tampa Bay area and beyond. We are committed to streamlining procedures and enhancing services for clinical investigators and research staff, affiliate partners, extramural sponsors and research volunteers. The strategic services, education and training, and comprehensive review processes provided by the OCR are designed to foster research teams who are benchmarking the next generation standard of care.
POSITION SUMMARY:
Under the direct supervision of the Assistant Director, the Clinical Research Billing Analyst will be responsible for ensuring research-related services are billed correctly and in compliance with federal regulations and institutional policies. This role involves reviewing the research billing queue in EPIC and research visits in the Clinical Trail Management System (CTMS), analyzing clinical trial documents such as Coverage Analyses and Clinical Trial Agreements, and collaborating with multiple teams to ensure accurate billing for clinical trials.
RESPONSIBILITIES:
Review and monitor the research billing queue in EPIC to ensure services related to clinical trials are correctly adjudicated, billed accurately, and in compliance with the coverage analysis, clinical trial agreement (CTA), and study protocol.
Ensure all billing practices align with institutional guidelines, Medicare Coverage Analysis (MCA), federal regulations, and payer requirements for clinical trials.
Read and interpret clinical trial agreements, study protocols, and coverage analyses to determine the appropriate billing path for services provided during a study.
Efficiently navigate the clinical trial management system to verify study details and track study-related billing and milestones.
Participate in internal and external audits and generate reports related to billing compliance and research activities.
POSITION QUALIFICATIONS:
MINIMUM:
Bachelor's degree in health administration, clinical research, or related field. At least 2 years of experience in clinical research or healthcare billing. Familiarity with EPIC or similar electronic health records systems. Ability to read and understand clinical trial agreements, coverage analysis, and research protocols. Strong knowledge of federal regulations governing clinical trial billing, including CMS guidelines. Preferred: Experience in health billing and coding (CPC certification or similar). Proficiency in navigating clinical trial management systems (CTMS) and ensuring study billing compliance. Strong attention to detail and analytical skills.
Senate Bill 1310- The Florida Senate (https://www.flsenate.gov/Session/Bill/2023/1310) is conditional upon meeting all employment eligibility requirements in the U.S.
SB 1310: Substitution of Work Experience for Postsecondary Education Requirements
A public employer may include a postsecondary degree as a baseline requirement only as an
alternative to the number of years of direct experience required, not to exceed:
(a) Two years of direct experience for an associate degree;
(b) Four years of direct experience for a bachelors degree;
(c) Six years of direct experience for a masters degree;
(d) Seven years of direct experience for a professional degree; or
(e) Nine years of direct experience for a doctoral degree
Related work experience may not substitute for any required licensure, certification, or registration
required for the position of employment as established by the public employer and indicated in the
advertised description of the position of employment.
Minimum Qualifications that require a high school diploma are exempt from SB 1310.
PREFERRED:
Bachelor's degree in health administration, clinical research, or related field.
USF Health
Information for Applicants
This position is subject to a Level 1 criminal background check.
Job Opening Number: 38162
Posting Date: 11/05/2024
Posting End Date: 11/19/2024
How To Apply
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Apply online by completing the required information and attaching your cover letter and resume. Please include your experience as it relates to the qualifications stated above. YOUR COVER LETTER AND RESUME, PLUS ANY OTHER REQUESTED MATERIAL, MUST BE IN ONE ATTACHMENT. Only online applications are accepted for this position.
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To request an accommodation with the application or interview process, please contact Central Human Resources by telephone: 813-974-2970 or email HR-ADA-Request@usf.edu .
Equal Employment Opportunity
USF is an equal opportunity, equal access academic institution that embraces diversity in the workplace.The University of South Florida does not discriminate on the basis of sex and prohibits sexual harassment. Any person may report sex discrimination, including sexual harassment (whether or not the person reporting is the person alleged to be the victim of conduct that could constitute sex discrimination or sexual harassment), in person, by mail, by telephone, or by electronic mail, using the contact information listed for the Title IX Coordinator. Reports may be made at any time either online or directly to the University's Title IX Coordinator.
USF's Equal Opportunity Affirmative Action Statement .
Federal Rights
Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA) , Equal Employment Opportunity (EEO) and Employee Polygraph Protection Act (EPPA) .
Work Location
Campus map and location overview:
USF - Health
USF - Tampa Campus
About USF
The University of South Florida is a high-impact global research university dedicated to student success. Over the past 10 years, no other public university in the country has risen faster in U.S. News and World Report's national university rankings than USF. Serving more than 50,000 students on campuses in Tampa, St. Petersburg and Sarasota-Manatee, USF is designated as a Preeminent State Research University by the Florida Board of Governors, placing it in the most elite category among the state's 12 public universities. USF is a member of the American Athletic Conference.
Working at USF
With more than 16,000 employees at USF, the University of South Florida is one of the largest employers in the Tampa Bay region. At USF you will find opportunities to excel in a rich academic environment that fosters the development and advancement of our employees. We believe in creating a talented, engaged and driven workforce through on-going development and career opportunities. We also offer a first class benefit package that includes medical, dental and life insurance plans, retirement plan options, tuition program and generous leave programs and more.
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