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RESEARCH COMPLIANCE SPECIALIST

BRONX, NY, US


Job Summary:

The Research Billing Compliance Specialist is responsible for monitoring and improving research billing processes to ensure the delivery of accurate research bills and financial integrity. This role is in an important part of the central research infrastructure which adds value through compliance by reducing risk and optimizing the revenue stream. The incumbent will contribute to driving processes to secure maximum revenue from study fees through accurate billing and collection, enhanced training and education and reducing risk. He/she will set clear and achievable goals and put the necessary metrics in place to monitor and ensure progress.

 

Job Responsibilities:

  • Conducts reviews of monthly research bills and ensure charges are accurate and billed to the appropriate study account. Provide recommendations for process improvement based on findings.
  • Develops and provides investigators, study teams and institutional management with up-to-date billing compliance guidelines and requirements, including 3rd party payment guidelines and requirements, new regulations, or regulatory changes regarding clinical trial billing. Create research billing and research finance polices and procedures as needed.
  • Provides Training and Education to Investigators and research staff on an ongoing basis.
  • Conducts targeted training based on monitoring and compliance issues identified.
  • Review CAs, CTAs, Billing Calendars in Velos, Budgets, Amendments, other study documents for consistency and accuracy.
  • Involved in developing strategies for maximizing financial opportunities in the conduct of research through ensuring comprehensive understanding of conducting research and ensuring compliance with clinical trial billing.
  • Perform special projects and miscellaneous duties as needed and requested.

 

Job Requirements:

  • Bachelors Degree Required
  • Clinical research billing, billing auditing/compliance, medical terminology
  • Proficient in Microsoft excel including formula functions, sorting, and charting
  • Excellent computer skills
  • Medical billing/coding knowledge and experience working with Epic preferred
  • Strong analytical and problem-solving skills—the ability to correctly decipher regulatory or procedural language
  • Ability to define issues, collect data, establish facts, and draw valid conclusions
  • Ability to understand in-house developed systems and identify risks with, or gaps in, those systems
  • Ability to prioritize multiple tasks and meet deadlines with minimal supervision
  • Excelling verbal and written communication skills

 

 

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: 170203 

 

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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Mission:
To heal, to teach, to discover and to advance the health of the communities we serve.

Vision:
To be a premier academic medical center that transforms health and enriches lives.

Values
Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity