UNIV - Research Finance Billing Compliance… at Medical… · Location…

Job Description Summary

Hollings Cancer Center (HCC) Finance Billing Compliance Analyst is responsible for the review and research billing compliance set-up for all federal, industrial and institutional cancer clinical trials managed within the HCC Clinical Trials Office (CTO).

Entity

Medical University of South Carolina (MUSC - Univ)

Worker Type

Employee

Worker Sub-Type​

Classified

Cost Center

CC001332 HCC CTO Administration

Pay Rate Type

Hourly

Pay Grade

University-GEN08

Pay Range

45,300.00 - 61,100.00 - 77,000.000

Scheduled Weekly Hours

40

Work Shift

Job Description

Summary:

Hollings Cancer Center (HCC) Finance Billing Compliance Analyst is responsible for the review and research billing compliance set-up for all federal, industrial and institutional cancer clinical trials managed within the HCC Clinical Trials Office (CTO).

This role reports up to the HCC CTO Finance Manager and works collaboratively with the finance unit’s teams and other HCC CTO Units. This role requires excellent communication and organization skills to independently handle multiple projects with accuracy and timeliness.

Remote/Hybrid may be available after an orientation period.

Responsibilities:

35% Research Billing Compliance Creation for New Studies: Supports the study team from the time any new study moves into the approval processing. This role will review the study documents, initiate the requests for a Prospective Reimbursement Analysis (PRA) also known as the Medicare Coverage Analysis (CA), and ensure that documents are properly saved and archived per policy. It is essential that this role utilize the Clinical Trials Management System (CTMS) to record activity and comment updates along with participating in relevant meetings to communicate to supervisor, study team, and Principal Investigator (PI) the status of the PRA request. This role will communicate per policy to the PI the received PRA and track the PI’s review and approval of the document. After the notification that the study has been pushed to the University’s system called SPARCRequest (Services, Pricing, & Application for Research Centers), this role will begin the creation of the important research billing compliance grid that outlines the study procedures and proper billing designations per the PRA documents. This role will maintain awareness of study priorities and deadlines and ensure that research billing grids are completed on time per the study’s target completion dates. Any challenges or delays should be proactively communicated to the supervisor and/or PI. As the billing grid will drive proper research payments per federal regulations, it is important that this role understand local and federal policies and assure that the billing designations, procedures and quantities are aligned with the current protocol and associated PRA. This role will also assist with the initial request for any study specific Investigational Drug Service request in SPARC. This will be done once the study moves into the approval processing and study specific requirements are assessed by the HCC Resource Allocation and Feasibility Team (RAFT) reviewers and operational decisions are documented within the Protocol Ancillary Decisions and Logistics (PADL) form. This role is responsible for reviewing the PADL form and if required, this role will initiate the IDS initial request per the details outlined by the PADL.

35% Research Billing Compliance Maintenance: Supports the study team from the time of any study in which an amendment is received. This role will review the study documents, and if required, initiate the requests for a Prospective Reimbursement Analysis (PRA) also known as the Medicare Coverage Analysis (CA), and ensure that documents are properly saved and archived per policy. It is essential that this role utilize the Clinical Trials Management System (CTMS) to record activity and comment updates along with participating in relevant meetings to communicate to supervisor, study team, and Principal Investigator (PI) the status of the PRA request. This role will communicate per policy to the PI the received PRA and track the PI’s review and approval of the document. After approval confirmation has been received this role will begin the revision of the research billing compliance grid the University’s system called SPARCRequest (Services, Pricing, & Application for Research Centers) that outlines the study procedures and proper billing designations per the PRA document. This role will maintain awareness of study priorities and deadlines and ensure that research billing grids are completed on time per the study’s amendment target completion dates. Any challenges or delays should be proactively communicated to the supervisor and/or PI. As the billing grid will drive proper research payments per federal regulations, it is important that this role understand local and federal policies and ensure that the billing designations, procedures and quantities are aligned with the current protocol and associated PRA.

15% SPARC Push to EPIC: After reviewing the final billing grid and following policies and work guidance for accuracy checks, this role will be responsible for pushing the final billing grid from SPARC to EPIC. It is essential that the appropriate naming conventions are used to ensure that the grid can be linked to the proper protocol version. This role will also review the list of SPARC users against the current CTO staff and investigator roster prior to pushing the billing grid to EPIC. Any discrepancies in SPARC roles will be corrected. Once the SPARC billing grid is pushed to EPIC, this role will be responsible for updating the CTMS task list with the completion date. If there are any delays or barriers, this role will properly and professionally escalate the issue to their supervisor.

10% Participation and Administrative Support of Research Billing Compliance Audits: This role will work collaboratively with the research billing compliance team and participate, as directed per the supervisor, in any research billing compliance audits. Participation will support ongoing education and understanding of the research billing grid and how it drives the charge segregation of procedural costs as clinical activities are completed by the research subject. If there are any errors in the SPARC billing grid identified during the audit, this role will be responsible for correcting the billing grid and pushing the corrected billing grid for future use

5% Continuing Education, Reporting and Additional Duties: Participate in Finance unit meetings. Prepares and communicates updates and activities to supervisor. Assures timely, accurate and meaningful updates within the CTMS to assure that activity statuses can be properly relayed to the study team within other meeting forums such as CTO pending projects or Clinical Research Group Meetings. From time to time, special projects or workgroups may be established to promote process improvement or assist with strategic planning. Will be expected to participate in CTO staff meetings, CTO retreats, Office of Clinical Research trainings and other continuing education.

Additional Job Description

Minimum Requirements: A high school diploma and three years professional experience in a related area such as accounting, auditing, finance or commercial lending. A bachelor's degree with multiple accounting courses may be substituted for two years of the required work experience.

Physical Requirements: (Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift) Ability to perform job functions in an upright position. (Frequent) Ability to perform job functions in a seated position. (Frequent) Ability to perform job functions while walking/mobile. (Frequent) Ability to work indoors. (Continuous) Ability to work in confined/cramped spaces. (Infrequent) Ability to bend at the waist. (Infrequent) Ability to squat and perform job functions. (Infrequent) Ability to fully use both hands/arms. (Continuous) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to maintain tactile sensory functions. (Continuous) Ability to lift and carry up to 15 lbs., unassisted. (Infrequent) Ability to lift objects, up to 15 lbs., from floor level to height of 36 inches, unassisted. (Infrequent) Ability to lower objects, up to 15 lbs., from height of 36 inches to floor level, unassisted. (Infrequent) Ability to push/pull objects, up to 15 lbs., unassisted. (Infrequent) Ability to maintain 20/40 vision, corrected. (Continuous) Ability to see and recognize objects close at hand. (Continuous) Ability to see and recognize objects at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to hear and/or understand conversations. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Additional New Requirements: Computer literacy.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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