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Revenue Management Analyst


Job Summary:

The Revenue Management Analyst is responsible for clinical trial finance operations including billing, collection and reconciliation

processes. This role will be essential in ensuring the hospital receives correct reimbursements and maintaining a culture of accountability and compliance. The incumbent will drive and coordinate processes to secure maximum revenue from study fees through reconciliation and collection. He/she sets clear and achievable goals and puts the necessary metrics in place to monitor and ensure progress.


Job Responsibilities: 

  • Track patient visit, milestones, invoiceable procedures/ items, amounts owed, payments received (including payments from monitor visits), and effort expended by study staff.
  • Ensure study calendars are completed, reconciled with study teams for appropriate invoicing in timely manner.
  • Collaborate with study teams and ancillary departments to ensure appropriate parties (funding sources) are invoiced for research-related services based on Coverage Analysis and budget.
  • Responsible for reconciliation of outstanding research charges versus monies received from funder. Reconcile monthly   research bills and ensure research charges are accurate.
  • Ensure timely clinical trial account invoicing to sponsors which matches protocol driven procedures with patient accruals/visits to ensure appropriate invoicing and reimbursement.
  • Enterprise reporting of research financial metrics.
  • Collaborate with billing compliance and billing analyst to perform routine audits of research accounts to ensure billing compliance, using the informed consent document, clinical trial agreement, and study budgets.
  • Involved in developing strategies for maximizing financial opportunities in the conduct of research through reconciling charges, accurately and timely invoicing and ancillary billing.


Job Requirements:

  • Bachelor's Degree
  • Knowledge of Epic, ICD-10 and/or CPT Codes and research billing highly desirable Working knowledge of hospital charge capture flow, and charge description master.
  • Proficient working knowledge of Microsoft office required.
  • Strong knowledge of clinical processes, medical terminology, and the clinical research life cycle required. Working knowledge of Centers for Medicare and Medicaid Services’ clinical trial policy
  • Working knowledge of medical billing and billing compliance Ability to prioritize multiple tasks and meet deadlines with minimal supervision
  • Strong analytical, verbal and written communication skills, and problem-solving skills; the ability to correctly decipher regulatory or procedural language
  • Ability to understand in-house developed systems and identify risks with, or gaps in, those systems. 
  • Perform special projects and miscellaneous duties as needed and requested.



Department: Office of Clinical Trials Bargaining Unit: Non Union Campus: MOSES  Employment Status: Regular Full-Time Address: 111 East 210th Street, Bronx
Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 170201 


Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 



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