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Compliance Analyst
4 months ago
? Great Opportunity to Work in Oncology Research
Hybrid Opportunity AFTER FIRST 90 DAYS
Competitive Pay
REQUIRED:
+ 1+ years of Clinical Research Billing/Finance experience
+ Research Medicare Coverage Analysis experience
+ Experience with EPIC and CTMS
+ Oncology experience highly preferred, not required
RESPONSIBILITIES:
+ Coordinate with research clinical staff, PFS, registration and third parties to ensure adherence to clinical trial billing workflows.
+ Provide guidance and serve as a resource for clinical trial regulations and best practices to internal and applicable third parties.
+ Review/report/transfer posted patient account charges in hospital billing system.
+ Verify posted charges are correctly billed to the patient's insurer vs. research study on a daily basis by reviewing the DSA forms, clinical trial budget/contracts and hospital billing system.
+ Prepare monthly reports capturing the accounts payable to the hospital for patient accounts and to third party vendors.
+ Tracks and troubleshoots charge posting errors.
+ Coordinate with Billing Specialist to identify invoiceable charges.
+ Maintains forms and documentation associated with clinical cancer research patient accounts.
+ Resolves outstanding patient bills/disputes with the Finance department.
+ Resolves patient bills/disputes with research subjects/staff as part of service recovery.
+ Assists with the preparation of reports request by the Finance department.
+ Troubleshoots internal department billing processes.
+ Attends finance meetings and assists other departments with global functioning details.
POSITION OVERVIEW:
+ The Research Compliance Specialist reviews, adjusts, and reports on clinical trials charges and claims representing research while working closely with Patient Financial Services (PFS), Registration and Ancillary hospital departments and third parties. The Research Billing Compliance Specialist is responsible for ensuring research charges are posted in accordance with Medicare's Clinical Trial Policy, federal regulations, and pharmaceutical/third party contracts. The Research Billing Compliance Specialist also assists in the oversight of the day-to-day research finance operations.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
+ Hiring diverse talent
+ Maintaining an inclusive environment through persistent self-reflection
+ Building a culture of care, engagement, and recognition with clear outcomes
+ Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
