Research Business Services Specialist-Medical Billing and Coding
About The Position
The Research Business Services Specialist I supports financial compliance and operational efficiency in support of the Minneapolis Heart Institute Foundation’s mission and the financial integrity of the organization’s clinical research portfolio. This role is responsible for reviewing clinical trial billing, conducting coverage analyses, sponsor invoicing, and ensuring adherence to federal, state, and institutional regulations and requirements. Ideal candidates for this role have a strong background in healthcare billing and coding and clinical research operations, with a focus on accuracy and compliance.
Requirements
- Associate’s degree in accounting, finance, business, or related field, or equivalent combination of education and experience.
- 5+ years of experience in clinical research billing, revenue cycle management, or research finance.
- Knowledge of medical billing and coding, including CPT/HCPCS coding, NCT numbers, and routine v. research costs.
- Familiarity with Medical guidelines, clinical trial agreements, and informed consent billing language.
- Familiarity with insurance coverage determinations.
- Proficiency in MS Office suite, with strong Excel skills.
- Proficiency in EHR systems (e.g., Epic) and CTMS platforms (e.g., RealTime, OnCore)
- Strong analytical thinking, communication, organization, and customer service skills.
Responsibilities
- Manage overall process for revenue and expenses tracking for clinical research studies.
- Oversee day-to-day activities for research study financial management, including invoicing, cash application, and accounts receivable management.
- Review, process, and reconcile clinical trial-related charges to ensure proper billing to sponsors, payers, and/or patients, in partnership with key stakeholders.
- Consult clinical research staff to review complex patient billing encounters.
- Serves as key contact for management of research billing compliance issues, serves as subject matter expert with respect to research billing, provides guidance and training to staff as needed.
- Review and process subject travel, accommodations, and stipends.
- Review and process other study expenses, including IRB invoices, pharmacy, lab, and other ancillary charges, and administrative expenses.
- Facilitate financial clearance and prior authorizations for patient visits as needed.
- Enter administrative revenue activities into Clinical Trial Management System (CTMS) platform.
- Support Finance receivables management, system inquiries, and reporting, as needed.
- Utilize EMR, Finance, and CTMS platforms to track research-related services and billing.
- Partner with key stakeholders to prevent double billing and ensure compliance with CMS, FDA, and HIPAA regulations.
- Other duties as assigned – this position may support other functions as required by business need. This job description represents the major functions of the position but is not intended to be all-inclusive.
Benefits
- Medical, dental, and vision insurance
- Life, short- and long-term disability
- Employer HSA contribution
- 401(k) with employer match and contribution
- Generous PTO, paid holidays, and parental leave
- Tuition reimbursement and paid volunteer time
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
