Research Financial Specialist
Job Location:
Maywood, IL - USA
Hourly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
This role will support research financial processes across Loyola Medicine service lines. This role is critical to ensuring accurate charge segregation maintaining research billing compliance managing Medicare Coverage Analyses (MCA) and resolving billing disputes.
- Perform charge segregation and corrections in alignment with approved Medicare Coverage Analyses (MCA)
- Manage research financial workflows including statement review and resolution of disputed charges
- Identify and escalate high-risk studies and potential audit concerns
- Independently review update and amend Medicare Coverage Analyses based on clinical trial documentation
- Maintain and update research fee schedules
- Assist in identifying and validating CPT codes for research-related procedures and services
- Collaborate with cross-functional teams (e.g. Revenue Integrity Compliance) to ensure compliant billing practices
- Provide back-up support to the Clinical Research Business Analyst
- Ensure adherence to federal state and local regulations as well as Trinity Health policies Code of Conduct and compliance standards
- Demonstrate Trinity Health Mission Values Vision and guiding behaviors in daily work
Required Qualifications
- 24 years of experience in research medical billing or coding
- Strong knowledge of Medicare Coverage Analyses with the ability to interpret and apply clinical trial documentation
- Experience working with Epic systems including reviewing and analyzing charge reports
- Solid understanding of clinical research billing regulations and workflows
- Strong analytical skills with high attention to detail
- Ability to work independently manage competing deadlines and prioritize workload effectively
- Excellent communication skills with the ability to work across multiple departments
Preferred Qualifications
- Bachelors degree in Finance Healthcare Administration or a related field (experience may substitute for education)
- Formal training in Medicare Coverage Analysis and/or clinical trial billing compliance
- Certified Professional Coder (CPC AAPC)
- SOCRA or ACRP certification
Compensation:
Salary Range: $31.06 - $48.15 per hour
Actual compensation will fall within the range but may vary based on factors such as experience qualifications education location licensure certification requirements and comparisons to colleagues in similar roles.
Benefits:
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Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Required Experience:
IC
About Company
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more
