Financial Analyst I OCR

American Addiction Centers•Charlotte, NC

16h•$29 - $43•Remote

About The Position

The Clinical Research Financial Analyst I is a position that resides in the Office of Clinical Research (OCR). Under the direction of a Pre-Award Finance Manager, the position is an entry-level performer of clinical research administration functions and activities. Under general supervision, the Clinical Research Financial Analyst I analyzes research study documentation and interprets applicable Federal regulations to perform Medicare Coverage Analysis.

Requirements

Bachelor's degree in Business, Accounting, Finance or a related field with 0-1 years of relevant experience in clinical research or research administration.
Minimum of 1-year Business Office experience in a healthcare environment or Research Office experience preferred.
Excellent oral and written communication skills.
Excellent phone etiquette and internal/external customer service skills, required.
Strong interpersonal skills and attention to detail.
Experience with computerized databases (e.g., Microsoft Excel), word processing (e.g., Microsoft Word), and presentation software (e.g., Microsoft PowerPoint).
Demonstrates ability to work independently.

Nice To Haves

Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Revenue Cycle Representative (CRCR) preferred.

Responsibilities

Reviews complex study protocols, sponsor agreements, informed consent forms and related documents as needed to determine whether a study is a “qualifying clinical trial” based on Medicare and Medicaid regulations.
Reviews study documentation and applicable American Medical Association (AMA) or Centers for Medicare & Medicaid Services (CMS) guidelines to determine the appropriate Current Procedure Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) for each test/procedure required by the research study protocol.
Analyzes and interprets Medicare benefit policies, coverage determinations, and other applicable regulations in conjunction with the study documentation to determine the appropriate payer for each test/procedure required by the research protocol. Applies such interpretation in order to prepare Medicare Coverage Analysis (MCA).
Collaborates with the Principal Investigator, the clinical research team and other Pre-Award Finance team members to finalize the MCA and designate funding sources for research costs.
Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to accepted coverage, billing and reimbursement policies and standards.
As needed, develops a comprehensive cost analysis for the clinical research study when preparing the initial study budget to assist budget negotiations with pharmaceutical companies, device manufacturers and other study sponsor.
As needed, develops OnCore Billing Grid to assist in clinical research billing process and ensure compliant billing.
Primary user of OnCore; use of EPIC as necessary.
Prioritizes job tasks; demonstrates willingness to assist Manager/Director in the completion of special projects and daily tasks to support the Department’s productivity and efficiency.
Demonstrates responsibility for personal development by participating in continuing education offerings.
Performs other related duties incidental to work described herein.

Benefits

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program