[Remote] Financial Analyst I OCR

Note: The job is a remote job and is open to candidates in USA. Advocate Aurora Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. The Financial Analyst I OCR role involves reviewing complex study protocols and developing coverage grids, as well as supporting the financial management of clinical trials.

Responsibilities

• Reviews complex study protocols, sponsor agreements, informed consent forms and related documents as needed to determine whether a study is a qualifying clinical trial
• Develop coverage (billing) grids in OnCore
• Analyzes Medicare benefit policies, coverage determinations, and medical practice guidelines related to study specific interventions (e.g., physical exams, labs, radiological scans, etc.)
• Collaborates with the Principal Investigator and the clinical research team to finalize the MCA and designate funding sources for research costs
• As needed, develops a comprehensive cost analysis for the clinical research study when preparing the initial study budget
• Maintains a library of information on standards of care, National Coverage Decisions (NCDs), Local Coverage Determinations (LCDs), etc
• Stays abreast of Medicare, sponsor and other federal policy and regulatory issues
• Works with the Principal Investigator and the clinical research team to develop an internal budget that includes all costs applicable to the study
• Develops detailed final budgets by identifying all activities, tests and procedures to be performed during the conduct of the study based on the protocol, study calendar and other study documents
• Creates visit schedule and budget in OnCore
• Negotiates with sponsors to reach agreements appropriate to the costs of the trial (as needed)
• In collaboration with Research Billing Team, reviews patient care charges associated with each clinical research study on a periodic basis
• Works with Special Billing and Department post-award personnel in to ensure that charges for all patient procedures are treated appropriately
• Supports the study team in the financial management of clinical trials originating from federal, foundation, and industry funds by performing all accounts receivable functions
• Generates and sends invoices to study sponsors
• Tracks and monitors receivables from sponsors, including pass-through fees and milestone payments
• Generates reports to project study financials
• Reconciles payments received to OnCore and CORE Connect (Oracle Cloud institutional financial system)
• Notifies Financial Services of appropriate study account to receive payment
• Resolves any financial issues with sponsor as needed
• Ascertain amount paid and remaining amount due on assigned study sponsor accounts; establish payment plan with Department Contact guarantors regarding past due accounts; re-evaluate existing payment plans as needed when account is delinquent
• Follow up with Departments to ensure proper amounts are collected; independently recommend action to be taken regarding the account
• Initiate calls to Departments to ascertain whether the proper amount has been paid on the research account
• Mail financial statements to Departments
• Review balances on account and communicate with Departments via phone and email to explain professional and hospital billing and collection policy and procedure
• At the completion of the study, supports Department post-award personnel and Sponsored Programs in the review of revenue received prior to close-out of the study account
• Supports the closeout of study activities in OnCore, ClinCard and EPIC
• Assists Principal Investigators with budget monitoring and prepares projections
• Production of ad hoc analyses as needed
• Prioritizes job tasks; demonstrates willingness to assist Manager/Director in the completion of special projects and daily task to support the Department s productivity and efficiency
• Demonstrates responsibility for personal development by participating in continuing education offerings
• Performs other related duties incidental to work described herein

Skills

• Bachelor's degree in Business, Accounting, Finance or a related field with 0-1 years of relevant experience in clinical research or research administration
• Minimum of 1-year Business Office experience in a healthcare environment or Research Office experience preferred

Benefits

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defin