Review and adjudicate research patient billing in EPIC, validate charges against Medicare Coverage Analysis, sponsor contracts, and CTMS builds. Reconcile billing accounts, resolve discrepancies with clinical, finance, and CTBO teams, review SAE-related charges, support projects and education, and foster cross-department collaboration.
Primary City/State:
Virtual - ArizonaCategory:
ComplianceShift:
DayDepartment:
HRI-IRB/ComplianceWe prefer multiple years of clinical research experience
Great care starts with great people. (Like you.)
At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
JOB SUMMARY
This position is responsible for the review and proper adjudication of patient research bills in EPIC(Electronic Medical Record/EMR). Utilizes and understands the Medicare Coverage Analysis (MCA), as well as sponsor contract language to determine intricacies of research and routine care charges. Reviews Clinical Trial Management (CTMS) builds for accuracy against contract and budget at onset and upon amendment. Communicates with the Clinical Trials Business Operations (CTBO) team to resolve discrepancies with MCAs, contracts and CTMS builds. Weekly review and patient reconciliation from visits marked as completed in CTMS.
Reviews charges associated with Serious Adverse Events and communicates with the finance and CTBO teams, and billing compliance leads on resolution and payment.
Works with coordinating staff and the finance team to resolve billing discrepancies and ensure outside labs and scans are billed appropriately.
Facilitates communication between the Program and other HonorHealth departments.
Reviews charges associated with Serious Adverse Events and communicates with the finance and CTBO teams, and billing compliance leads on resolution and payment.
Works with coordinating staff and the finance team to resolve billing discrepancies and ensure outside labs and scans are billed appropriately.
Facilitates communication between the Program and other HonorHealth departments.
ESSENTIAL FUNCTIONS
- Research patient billing adjudication reviewing the MCA, contract, and CTMS for validation. Evaluation of clinical research visits and reconciliation of billing accounts.
- Validate CTMS builds by reviewing against the MCA and sponsor contract. Work with Clinical and Finance staff on bills which contain errors.
- Miscellaneous projects as assigned by the lead research compliance team members and director of compliance.
- Participate in educational events with compliance team members.
- Fosters collaborative partnerships/relationships with all departments within HonorHealth Research Institute.
EDUCATION
- Associates in healthcare area Required
- Bachelors in healthcare area Preferred
EXPERIENCE
- 2 years in clinical research experience Required
LICENSE AND CERTIFICATIONS
We're all in for your career.
Similar Jobs
Edtech • Professional Services • Social Impact
Support and monitor research compliance and IRB operations, conduct audits and reviews, write findings and corrective actions, develop and deliver human subjects protections training and educational materials, partner with academic units to ensure adherence to federal regulations and institutional policies.
Top Skills:
CayuseElectronic Research/Compliance SystemsMS OfficeZoom
Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Lead complex real estate tax engagements, mentor teams, provide client advisory on tax strategies, and drive business growth through networking.
Top Skills:
CpaJdLlmMstTax Technology Tools
Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Manage the insurance tax team, assist in client relationships and business development, oversee tax compliance, and support tax strategies.
Top Skills:
AccountingInsurance TaxTax Compliance
What you need to know about the Seattle Tech Scene
Home to tech titans like Microsoft and Amazon, Seattle punches far above its weight in innovation. But its surrounding mountains, sprinkled with world-famous hiking trails and climbing routes, make the city a destination for outdoorsy types as well. Established as a logging town before shifting to shipbuilding and logistics, the Emerald City is now known for its contributions to aerospace, software, biotech and cloud computing. And its status as a thriving tech ecosystem is attracting out-of-town companies looking to establish new tech and engineering hubs.
Key Facts About Seattle Tech
- Number of Tech Workers: 287,000; 13% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Amazon, Microsoft, Meta, Google
- Key Industries: Artificial intelligence, cloud computing, software, biotechnology, game development
- Funding Landscape: $3.1 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Madrona, Fuse, Tola, Maveron
- Research Centers and Universities: University of Washington, Seattle University, Seattle Pacific University, Allen Institute for Brain Science, Bill & Melinda Gates Foundation, Seattle Children’s Research Institute
