Clinical Research Billing Specialist

SECTION 1: Job Summary (Summary of the basic functions of the position)

The Clinical Research Billing Specialist is responsible for ensuring accurate and compliant billing for clinical trials including building budget schedules and reports within the Clinical Trial Management System, tracking and reconciling payments, ensuring compliance of regulatory requirements for invoicing, and providing accurate tracking for payment reconciliation and revenue reporting.

SECTION 2: Duties and Responsibilities (Responsibilities necessary to accomplish job functions)   

• Build and maintain accurate billing plans within the Clinical Trial Management System.
• Ensure compliance with billing processes and procedures within the Clinical Trial Management System and study contracts.
• Generate and submit invoices according to contract terms and billing schedules.
• Reconcile payments received against study milestones and invoiced amounts.
• Investigate and resolve billing discrepancies.
• Monitor accounts receivable and follow up on outstanding invoices.
• Collaborate with internal contract and study teams to interpret clinical trial budgets, payment terms, and payments.
• Track study revenue against budget to identify discrepancies.
• Ensure billing practices comply with federal state and local regulations.
• Prepare financial reports related to study performance.
• Serve as point of contact for billing-related inquires.
• Maintain audit-ready documentation supporting all billing activities.
• Assist with internal and external financial audits.
• Stay current on OIG/CMS guidance related to clinical trial billing compliance and the Anti-Kickback Statute as it pertains to research payments.
• Collaborate with clinical research, finance, and leadership teams.
• Performs other duties that may be necessary or in the best interest of the organization.
• Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.

SECTION 5: Experience Requirements

• Bachelor's degree preferred in accounting, finance, healthcare administration, or related field.
• Minimum of 3 years of relevant experience in billing, finance, or accounting. Clinical Research Billing experience preferred.

SECTION 6: Knowledge, Skills and Abilities Requirements

• Detail oriented, professional attitude, reliable
• Management and organizational skills to support the leadership of this function
• Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
• Mathematical and/or analytical ability for basic to intermediate problem solving
• Intermediate computer operation
  • Proficiency with Microsoft Excel, Word, and Outlook
• Familiarity with Phase 1-4 Trials is strongly preferred
• Knowledge of clinical trial budgeting, invoicing, and financial reconciliation.
• Logical and Critical thinking skills
• Interpersonal skills to support customer service, functional, and team mate support needs
• Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

SECTION 7: Supervisory Responsibilities:

This position has no supervisory responsibilities.