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/ComplianceMonday-Friday
Remote
Must reside in Arizona
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 • Information Technology • Security • Software • Cybersecurity
Partner with sales teams to design and deliver technical demonstrations and evaluations for data security solutions. Gather requirements, configure custom product setups, lead hands-on evaluations, and guide customers to successful outcomes in strategic enterprise opportunities.
Top Skills:
Data ProtectionNetworkingSaaSSecurityWeb TechnologiesZero Trust ExchangeZscaler
4 Hours Ago
Automotive • Big Data • Information Technology • Robotics • Software • Transportation • Manufacturing
Lead district warranty and dealer service initiatives to improve customer retention by enforcing service policies, reducing warranty waste, managing goodwill claims, ensuring field action completion, conducting dealer audits and training, and supporting cross-functional and legal reviews. Maintain dealer relationships, host performance meetings, and execute business plans to meet district warranty and customer experience metrics.
What you need to know about the Chicago Tech Scene
With vibrant neighborhoods, great food and more affordable housing than either coast, Chicago might be the most liveable major tech hub. It is the birthplace of modern commodities and futures trading, a national hub for logistics and commerce, and home to the American Medical Association and the American Bar Association. This diverse blend of industry influences has helped Chicago emerge as a major player in verticals like fintech, biotechnology, legal tech, e-commerce and logistics technology. It’s also a major hiring center for tech companies on both coasts.
Key Facts About Chicago Tech
- Number of Tech Workers: 245,800; 5.2% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: McDonald’s, John Deere, Boeing, Morningstar
- Key Industries: Artificial intelligence, biotechnology, fintech, software, logistics technology
- Funding Landscape: $2.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Pritzker Group Venture Capital, Arch Venture Partners, MATH Venture Partners, Jump Capital, Hyde Park Venture Partners
- Research Centers and Universities: Northwestern University, University of Chicago, University of Illinois Urbana-Champaign, Illinois Institute of Technology, Argonne National Laboratory, Fermi National Accelerator Laboratory
