Clinical Research Budget Specialist - SoM Clinical Trials Office

About the role

The Clinical Trials Office has an outstanding opportunity for a Clinical Research Billing Specialist to join their team. Reporting to the Clinical Research Billing Manager, the Clinical Research Billing Specialist supports the clinical research mission of UW Medicine by helping ensure accurate, compliant, and timely research billing and revenue cycle operations across a complex clinical trials portfolio.

Responsibilities

• Epic Research Billing Workflows (30%)
• Review research billing activity to ensure charges route according to the study billing grid and Epic charge documentation, with attention to high-dollar and aging accounts.
• Resolve charge review, claim edit, “No Rules,” and other escalated research billing questions in partnership with Research Billing Coordinators and other departments.
• Epic Single Business Office (SBO) Research Invoicing Workflows (30%)
• Support timely generation of SBO research invoices, including reviewing and processing invoice corrections and claims of missing charges.
• Process invoice payments and follow up on aging research invoices to promote timely payment and accurate revenue cycle outcomes.
• OnCore Clinical Trials Management System (CTMS)/Epic Interface (20%)
• Ensure accurate handoff from OnCore to Epic when studies are activated, amended, or updated through subject enrollment changes.
• Perform quality control of study and enrollment records and provide clear, constructive feedback to study teams as needed.
• Patient Claims Review (10%)
• Respond to questions about patients’ research study participation and the relationship between study activity and patient billing.
• Identify trends or complex issues in patient claims review and escalate concerns to the Team Lead or Manager when appropriate.
• Medicare Rules: Application and Training (10%)
• Apply independent judgment in interpreting Medicare Clinical Trials Policy requirements and UW Medicine clinical research budgeting and billing policies and procedures.
• Provide accurate guidance, training, and customer service to CRBB colleagues, investigators, research staff, and practice site partners on research billing policies, procedures, and tools.

Qualifications

• Bachelor’s degree in science, business, healthcare administration, or a related field and at least two years of related experience, or an equivalent combination of education and experience.
• Prior experience with Epic Resolute, including hospital and/or professional billing workflows.
• Demonstrated team leadership skills and the ability to make positive contributions in a collaborative, high-volume work environment.
• Exceptional customer service, written communication, oral presentation, and stakeholder engagement skills.
• Ability to understand, interpret, and communicate complex policy, financial, scientific, and technical information to a broad audience.
• Demonstrated skill using Microsoft Excel and Access.