Work in Washington Veterans Jobs

Req #: 237627

Department: SCHOOL OF MEDICINE

Job Location Detail: Position is eligible to work fully remote or a hybrid schedule

Posting Date: 08/12/2024

Closing Info: Open Until Filled

Salary: $5,500 - $7,500 per month

Shift: First Shift

Notes: As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here. (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-professional-staff-librarians-academic-staff-20230701_a11y.pdf )

This posting may be used to recruit for several Clinical Research Billing Specialist positions.

As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem-solving skills and dedication to build stronger minds and a healthier world.

UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty.

The School of Medicine has an outstanding opportunity for a Clinical Research Billing Specialist to join their team.

UW Medicine works to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty medical care to people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. Within the large UW Medicine health system, the School of Medicine (SOM) is a world leader in biomedical research, with the largest biomedical research program at a public university based on National Institutes of Health funding and ranking among the top research universities internationally.

The Clinical Trials Office (CTO) supports the clinical research mission of UW Medicine. The CTO is an operational unit within the SOM’s Office of Research and Graduate Education charged with providing multi-service support to clinical researchers bringing important new therapies to our patients in compliance with evolving regulatory requirements.

POSITION COMPLEXITIES This position is a specialist role for the institutional clinical research billing and revenue cycle management within the CTO Clinical Research Budget and Billing (CRBB) program. The position will require experience in systems complexity, including OnCore and its interface with Epic, understanding and operationalizing a billing grid, and other systems designed to improve and enhance institutional and multi-institutional clinical research billing and post-award services and support. Ability to work collaboratively in a group setting in a fast-paced environment is crucial in this role.

POSITION IMPACT TO THE UNIVERSITY Clinical Trials Office is a central clinical research operation with compliance responsibilities and services across the vast portfolio of clinical trials in UW Medicine. The CTO operation has direct impact on UW reputation with major global biotech and biopharma sponsors, the availability of funded clinical trial opportunities in UW pipeline, and UW patients' access to novel therapies. In addition, the CTO plays a key role in mitigating institutional financial and reputational risks by ensuring strict compliance with the CMS and the FDA regulations and guidelines. CTO Clinical Research Billing Team Lead is a key position in maintaining secure and fully compliant CTO operation.

POSITION PURPOSE Clinical Research Billing Specialist position will enable the Clinical Research Billing Manager and Lead to coordinate and engage in the planning and implementation of new processes and systems without negatively impacting day-to-day unit management, responsiveness to customer concerns, proper training of new and existing members of the team and quality control of the unit's output. This position will provide appropriate handling of customer concerns possible due to the incumbent's extensive experience. The role will assist in managing the significant change CRBB has undergone and will assist in planning for and accommodating the new work and work flows that will be outcomes of upcoming systems changes (e.g., CTMS Target 3 rollout). The Clinical Research Billing Specialist will:

• Support Billing team through day-to-day problem-solving in collaboration with or in the absence of Clinical Research Billing Manager and Lead;

• Maintain a partial portfolio of research billing review, while managing unit work assignments and performing quality control review;

• Be a day-to-day resource to the Billing team; and

• Identify inconsistencies across the work product created by team members and recommend solutions in collaboration with colleagues and the unit's Manager and Lead DUTIES AND RESPONSIBILITIES Epic Research Billing Workflows (30%):

• Research Billing Review

• Ensure charges routed according to study billing grid, and in accordance with Epic charge documentation

• Prioritize high-dollar and aging accounts

• Charge Review and Claim Edit: Ensure research charges/claims have required coding for billing

• No Rules and other escalations: Handle research billing questions escalated from Research Billing Coordinators and other departmentsEpic Single Business Office (SBO) Research Invoicing Workflows (30%):

• Ensure timely generation of SBO invoices

• Receive and process invoice corrections, including claims of “missing” charges

• Process invoice payments

• Follow up on aging research invoices to ensure paymentOnCore Clinical Trials Management System (CTMS)/Epic Interface (20%):

• Ensure accurate handoff from OnCore to Epic when study is activated or amended

• Ensure accurate handoff from OnCore to Epic when subject enrollment updated

• Perform Quality Control (QC) of study and enrollment records, providing feedback to study teams as neededPatient Claims Review (10%):

• Respond to questions regarding patients’ research study participation and the relationship to patient billing

• Escalate issues to Team Lead or Manager as appropriateMedicare Rules: Application and Training (10%):

• Understand and exercise independent judgment and discretion in the interpretation and application of the Medicare National Coverage Determination for Routine Costs in Clinical Trials, and all relevant UW Medicine clinical research budgeting and billing policies and procedures

• As needed, provide training and education to Clinical Research Budget & Billing (CRBB) colleagues, School of Medicine investigators, research staff and practice site staff on research billing policies, procedures and tools

• Provide excellent customer service and accurate guidance to clinical research study teams regarding clinical research billing policies and procedures

• Assist in development of content for CRBB website and outreach documents

• Assist faculty, staff and others in interpreting internal and external research billing policies MINIMUM REQUIREMENTS

• A Bachelor’s degree in science, business, healthcare administration or related field and at least two years related experience with Epic Resolute (Hospital and/or Professional Billing) or equivalent combination of experience and education. Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration. ADDITIONAL REQUIREMENTS

• Demonstrated team leadership skills. Ability to make positive contributions and work effectively and efficiently in a group environment.

• Exceptional customer service skills.

• Strong written and oral presentation skills. Ability to communicate effectively with all levels of staff, faculty, management and collaborators.

• Ability to understand and convey complex policy, financial and scientific/technical information in a manner that is understandable to a wide audience.

• Ability to teach and mentor others in group settings, in one-on-one sessions and remotely.

• Ability to prioritize and organize work independently in a fast-paced, high-volume setting.

• Demonstrated skill in using Microsoft Excel and Access. DESIRED QUALIFICATIONS

• Five years’ experience with healthcare and/or research billing, clinical research study coordination or management, health system operations, or other related research or healthcare experience.

• Experience in an academic medical setting.

• Experience with Epic’s Research Billing module.

• Experience with a CTMS, preferably OnCore.

• Accounting and finance experience.

• Knowledge of the Medicare Clinical Trials Policy and other federal, state and institutional clinical research regulations. Application Process: The application process may include completion of a variety of online assessments to obtain additional information that will be used in the evaluation process. These assessments may include Work Authorization, Cover Letter and/or others. Any assessments that you need to complete will appear on your screen as soon as you select “Apply to this position”. Once you begin an assessment, it must be completed at that time; if you do not complete the assessment, you will be prompted to do so the next time you access your “My Jobs” page. If you select to take it later, it will appear on your "My Jobs" page to take when you are access ready. Please note that your application will not be reviewed, and you will not be considered for this position until all required assessments have been completed.

University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.