Review and adjudicate research patient billing in EPIC, validate charges against Medicare Coverage Analysis, sponsor contracts, and CTMS builds. Reconcile billing accounts, resolve discrepancies with clinical, finance, and CTBO teams, review SAE-related charges, support projects and education, and foster cross-department collaboration.
Primary City/State:
Virtual - ArizonaCategory:
ComplianceShift:
DayDepartment:
HRI-IRB/ComplianceWe prefer multiple years of clinical research experience
Great care starts with great people. (Like you.)
At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
JOB SUMMARY
This position is responsible for the review and proper adjudication of patient research bills in EPIC(Electronic Medical Record/EMR). Utilizes and understands the Medicare Coverage Analysis (MCA), as well as sponsor contract language to determine intricacies of research and routine care charges. Reviews Clinical Trial Management (CTMS) builds for accuracy against contract and budget at onset and upon amendment. Communicates with the Clinical Trials Business Operations (CTBO) team to resolve discrepancies with MCAs, contracts and CTMS builds. Weekly review and patient reconciliation from visits marked as completed in CTMS.
Reviews charges associated with Serious Adverse Events and communicates with the finance and CTBO teams, and billing compliance leads on resolution and payment.
Works with coordinating staff and the finance team to resolve billing discrepancies and ensure outside labs and scans are billed appropriately.
Facilitates communication between the Program and other HonorHealth departments.
Reviews charges associated with Serious Adverse Events and communicates with the finance and CTBO teams, and billing compliance leads on resolution and payment.
Works with coordinating staff and the finance team to resolve billing discrepancies and ensure outside labs and scans are billed appropriately.
Facilitates communication between the Program and other HonorHealth departments.
ESSENTIAL FUNCTIONS
- Research patient billing adjudication reviewing the MCA, contract, and CTMS for validation. Evaluation of clinical research visits and reconciliation of billing accounts.
- Validate CTMS builds by reviewing against the MCA and sponsor contract. Work with Clinical and Finance staff on bills which contain errors.
- Miscellaneous projects as assigned by the lead research compliance team members and director of compliance.
- Participate in educational events with compliance team members.
- Fosters collaborative partnerships/relationships with all departments within HonorHealth Research Institute.
EDUCATION
- Associates in healthcare area Required
- Bachelors in healthcare area Preferred
EXPERIENCE
- 2 years in clinical research experience Required
LICENSE AND CERTIFICATIONS
We're all in for your career.
Similar Jobs
Edtech • Professional Services • Social Impact
Support and monitor research compliance and IRB operations, conduct audits and reviews, write findings and corrective actions, develop and deliver human subjects protections training and educational materials, partner with academic units to ensure adherence to federal regulations and institutional policies.
Top Skills:
CayuseElectronic Research/Compliance SystemsMS OfficeZoom
Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Lead complex real estate tax engagements, mentor teams, provide client advisory on tax strategies, and drive business growth through networking.
Top Skills:
CpaJdLlmMstTax Technology Tools
Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Manage the insurance tax team, assist in client relationships and business development, oversee tax compliance, and support tax strategies.
Top Skills:
AccountingInsurance TaxTax Compliance
What you need to know about the NYC Tech Scene
As the undisputed financial capital of the world, New York City is an epicenter of startup funding activity. The city has a thriving fintech scene and is a major player in verticals ranging from AI to biotech, cybersecurity and digital media. It also has universities like NYU, Columbia and Cornell Tech attracting students and researchers from across the globe, providing the ecosystem with a constant influx of world-class talent. And its East Coast location and three international airports make it a perfect spot for European companies establishing a foothold in the United States.
Key Facts About NYC Tech
- Number of Tech Workers: 549,200; 6% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Capgemini, Bloomberg, IBM, Spotify
- Key Industries: Artificial intelligence, Fintech
- Funding Landscape: $25.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Greycroft, Thrive Capital, Union Square Ventures, FirstMark Capital, Tiger Global Management, Tribeca Venture Partners, Insight Partners, Two Sigma Ventures
- Research Centers and Universities: Columbia University, New York University, Fordham University, CUNY, AI Now Institute, Flatiron Institute, C.N. Yang Institute for Theoretical Physics, NASA Space Radiation Laboratory
