Epic Research Billing Analyst

Duration: 5 months to start

Job Description

Job Summary:

Reporting to the (Manager or Supervisor) in Patient Financial Services, the Clinical Trials Building Analyst plays a vital role in the success of the research billing program. By collaborating with study start up teams, the incumbent will ensure that there are accurate clinical trials billing records, compliant charge routing, and accurate grant payments for all billing studies. Acting as a subject matter expert in Epic research billing protocols (PRL), this person will interact with study team members and research billing staff to complete research records in Epic. The incumbent will maintain Clinical Trials Billing IT work lists and aid DTS in the timely implementation of system build. The Clinical Trials Building Analyst must complete and maintain the following EPIC coursework to be eligible for this position: pre-reqs: GEN006, GEN606, PRE051 and PRE052. Research Fundamentals (RSH100), Research Billing - Billing Tools (RSH405) and User and Security Basics (CLN205v) and maintain the Research Billing Certification.

Job Responsibilities

• Complete Epic research billing protocols for all new Billing clinical trials. Design and build records through collaborating with study start-up staff, validation of interfaced data from OnCore Clinical Trial Management System and incorporate payer guidelines to ensure accurate coding of procedures. (30%).
• Actively participate in study initiation meetings as scheduled to ensure that the study calendar of events, research billing protocol and RSH record have all the needed information to meet myriad research billing regulations. (10%).
• Maintain and revise research billing protocols through collaboration and analysis of study billing reports. Manage the documentation, resolution and completion of identified research billing grid revisions sharing progress and results with leaders, end users and stakeholders. (35%).
• Identify research process deviations and raise issues or risks when discovered, providing hands-on support to the Epic Clinical Trials Billing Team and research study teams; assisting with on-going knowledge transfer and training of Clinical Trials Specialists/Billers. (15%).
• Maintain Epic s Research Billing Certification through ongoing testing and review of release notes related to current and new functionality. Report, document and escalate issues. Provide system IT support including the analysis, prioritization and implementation of requested changes, as assigned. (10%).
• Maintain Epic s Research Billing Certification through ongoing testing and review of release notes related to current and new functionality. Report, document and escalate issues. Provide system IT support including the analysis, prioritization and implementation of requested changes, as assigned. (10%).
  
  

Skills:�

Required Skills & Experience

• Strong understanding of clinical research processes and patient workflows; inclusive of IRB study approval, patient enrollment, encounter registration, research billing review, grant payment processing and insurance claim form requirements.
• Recognize the impact of myriad Epic system settings on research billing workflows and experience developing testing plans prior to implementation.
• Excellent interpersonal & communication skills and demonstrated organizational abilities.
• Requires high level of analytical ability, and strong knowledge of system analysis and data gathering techniques.
• Ability to work independently towards specific goals and objectives and provide recommendations for improvement.
• Strong organizational and multi-tasking skills to apply toward high-priority assignments in order to meet established deadlines.
• Proficient computing skills, specifically healthcare related billing platforms, MS Office Products.
• Reporting abilities through business objects, crystal reporting, etc.
  
  

Preferred Skills & Experience:

• EPIC and OnCore experience preferred.
• At least three (3) years Clinical research and/or healthcare IT experience.
  
  

Education & Certifications:

Required Education

• High School Diploma / GED.
  
  

Preferred Education

• Bachelor's Degree in Accounting, Finance, Economics, Business Administration, or a related field.
  
  

EPIC Research Billing Certification required; EPIC Research Support Project with Billing Tools Emphasis.

Other Required Certifications within 6 months of the start date:

• Certified Revenue Cycle Representative (CRCR) from Healthcare Financial Management Association (HFMA) within 6 months of the start date OR Hospital Business Institute (HBI) Certification from the Hospital Business Institute.