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
HR Tech • Information Technology • Professional Services • Sales • Software
Partner with Account Executives to deliver tailored technical demonstrations, lead consultative discovery, translate integrations and security concepts for diverse stakeholders, and collaborate with product and customer success to remove technical blockers. Use data and industry knowledge to refine messaging, support revenue goals, and share best practices while staying current on trends and emerging technologies.
Top Skills:
APIsChatgptGenerative AiSaaSSecurity Protocols
HR Tech • Information Technology • Professional Services • Sales • Software
Partner with Account Executives to deliver technical demos, conduct discovery with multi-stakeholder buyers, design integrations and secure solutions, leverage CRM data, mitigate technical risks, provide product feedback, and mentor junior team members to drive successful SaaS mid-market sales outcomes.
Top Skills:
Ai ToolsApi IntegrationsCloud PlatformsCRMGenerative Ai (Chatgpt)Sales Enablement ToolsSecurity ComplianceWebhooks
What you need to know about the Los Angeles Tech Scene
Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
- Key Industries: Artificial intelligence, adtech, media, software, game development
- Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
- Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering
