Research Billing Compliance Lead
About The Position
Nebraska Medicine is seeking a Research Billing Compliance Specialist to serve as the subject matter expert guiding compliant billing practices for clinical research across the organization. In this highly visible role, you'll collaborate with researchers, finance, compliance, and operational teams to interpret complex billing requirements, develop sustainable processes, conduct audits, and drive continuous improvement. This is an exceptional opportunity for a detail-oriented compliance professional to make a meaningful impact on both research excellence and patient care while helping advance discoveries that shape the future of healthcare. The Research Billing Compliance Lead will provide leadership and subject matter expertise for research billing by developing and maintaining a Research Billing Compliance program. As research grants are awarded, understand billing requirements of each, educate appropriate staff on billing requirements, and ensure compliance through audit activities, and process improvements. Responsible for research billing process and maintaining research specific billing records. Work with interdisciplinary team to resolve billing issues and optimize the system to deliver a product that makes efficient use of resources and meets the needs of researchers across the continuum.
Requirements
- Minimum of three years health care compliance experience in Centers for Medicare & Medicaid Services (CMS) regulations and research billing compliance required.
- Bachelor's degree in business administration, healthcare, scientific, or related field OR equivalent combination of education/experience combined (one year of education equals one year of experience) required.
- Proficient in Microsoft Word, Excel, and PowerPoint required.
- Excellent time management skills required.
- Ability to work efficiently under deadlines required.
- Strong organizational skills required.
- Independent problem solving skills and self-directed work experience required.
- Ability to lead, develop, and efficiently contribute to project teams required.
- Ability to demonstrate competent leadership skills required.
- Effective verbal and written communication skills to include reports, publications and professional presentations required.
- Candidate must live in Nebraska or Iowa.
Nice To Haves
- Experience with clinical trials billing including preauthorization, claims processing, and claims denials strongly preferred.
- Experience with a Clinical Trials Management System preferred.
- Master's degree in business administration, healthcare, scientific, or related field preferred.
- Certification in Healthcare Research Compliance (CHRC), CHC, or CHPC preferred.
Responsibilities
- Provide leadership and subject matter expertise for research billing by developing and maintaining a Research Billing Compliance program.
- Understand billing requirements of each research grant awarded.
- Educate appropriate staff on billing requirements.
- Ensure compliance through audit activities and process improvements.
- Responsible for research billing process and maintaining research specific billing records.
- Work with interdisciplinary team to resolve billing issues and optimize the system to deliver a product that makes efficient use of resources and meets the needs of researchers across the continuum.
Benefits
- Up to $5,000/year in tuition assistance
- 35% discount at Clarkson College
- Career advancement opportunities with covered educational costs
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
