Billing Analyst-Clinical Trials

SHIFT:

Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOP's Commitment to Diversity, Equity, and Inclusion

CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.

We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.

A Brief Overview
Reporting to the (Manager or Supervisor) in Patient Financial Services, the Clinical Trials Building Analyst plays a vital role in the success of CHOP's 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 CHOP's 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 t his 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.

What you will do

• Complete Epic research billing protocols for all new CHOP 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%)

Education Qualifications

• High School Diploma / GED Required
• Bachelor's Degree Accounting, Finance, Economics, Business Administration, or a related field Preferred

Experience Qualifications

• At least three (3) years Clinical research and/or healthcare IT experience Preferred

Skills and Abilities

• 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 (Required proficiency)
• Recognize the impact of myriad Epic system settings on research billing workflows and experience developing testing plans prior to implementation (Required proficiency)
• Excellent interpersonal & communication skills, and demonstrated organizational abilities. (Required proficiency)
• Requires high level of analytical ability, and strong knowledge of system analysis and data gathering techniques. (Required proficiency)
• Ability to work independently towards specific goals and objectives and provide recommendations for improvement. (Required proficiency)
• Strong organizational and multi-tasking skills to apply toward high-priority assignments in order to meet established deadlines (Required proficiency)
• Proficient computing skills, specifically healthcare related billing platforms, MS Office Products. Reporting abilities through business objects, crystal reporting, etc. (Required proficiency)
• EPIC and OnCore experience preferred (Preferred proficiency)

Licenses and Certifications

• Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA) - within 6 months - Required or
• Hospital Business Institute (HBI) Certification - Hospital Business Institute - within 6 months - Required and
• EPIC Builder Certification - EPIC Research Support Project with Billing Tools Emphasis - within 6 months - Required and

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.

Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.

EEO / VEVRAA Federal Contractor | Tobacco Statement