Research Finance Specialist I - II, Center for Clinical Research (Hybrid)

University Hospitals•Cleveland, OH

2d•Hybrid

About The Position

The Finance Specialist will be responsible for ensuring compliant research billing practices for assigned departments. This role involves managing and coordinating accurate grant accounting, serving as a departmental resource for research grants, and performing job duties efficiently to meet management goals. For Level 2, the role also includes providing guidance to colleagues and assisting research personnel with billing matters. Additionally, the specialist will develop clinical project budgets, assist in budget negotiations with sponsors, or partner with the revenue cycle to resolve claim denials and process complex research claims. The position requires adherence to all policies, standards, and the safe and secure maintenance of Protected Health Information (PHI).

Requirements

Bachelor's Degree in finance, healthcare or related field (management, nursing, biology) (Required) or Associate's Degree with at least 2 years healthcare revenue cycle / finance experience. (Required)
3+ years demonstrated success with research administration in a health-care environment (Required) or 1+ years demonstrated success in research patient care billing to include accurate charge segregation according to Medicare coverage regulations. (Required)
In-depth knowledge of research financial process. (Required proficiency)
Excellent organizational, communication, and trouble-shooting skills. (Required proficiency)
Strong analytical skills are needed to assess coverage analysis, interpret and reconcile research charges, and assure accurate grant reporting. (Required proficiency)
Strong communication skills for mentoring junior colleagues. (Required proficiency)
Proficiency and technical skills with MS Office. (Required proficiency)
Proficiency and technical skills with OnCore, Oracle, Velos and Soarian applications. (Required proficiency)
Knowledge of federal and state laws and regulations governing research billing and grant management (Required proficiency)
Knowledge of CMS and affiliate billing standards to ensure accurate processing of complex claims involving Radiation Therapy, Chemotherapy and Immunotherapy. (Required proficiency)

Nice To Haves

Previous experience with clinical research in a health-care environment. (Preferred)
Experience in healthcare revenue cycle claims management or research finance and proficiency in MS Excel (Preferred)

Responsibilities

Assist in ensuring compliant research billing practice for assigned department(s) at University Hospitals Health System, including knowledge & application of CMS regulations, maintaining UH billing standards, thorough knowledge and application of coverage analysis and budgeting principles, record maintenance and grant reporting.
Manage and coordinate, under limited supervision, accurate grant accounting for assigned departments, and serve as a departmental resource to the grants team in overall management of research grants.
Efficiently perform job duties, including documentation and maintenance of data, to meet management goals.
Ensure compliant research billing practice for assigned department(s) at University Hospitals Cleveland Medical Center and UHHS, including comprehensive knowledge & application of CMS regulations, maintaining UH billing standards, and record maintenance including accurate grant reporting.
Demonstrate efficient task performance, high level of organization and the maintenance of accurate administrative records, including database entries and reporting, to meet management goals.
Through effective communication, provide guidance to colleagues and assist department research personnel in research patient billing matters.
Develop patient care clinical project budgets which meet compliance and fiscal standards, utilizing thorough knowledge of coverage analysis and budgeting principles. Assist in negotiation of budget with Sponsor.
Partner with revenue cycle to assist with resolving research claim denials, manage third party insurance issues, and independently process complex research claims according to CMS or private payor rules to ensure maximum payment recovery on outstanding billing.
Performs other duties as assigned.
Complies with all policies and standards.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients.