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
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Company Overview
Advocate Aurora Health is a Healthcare It was founded in 2018, and is headquartered in Milwaukee, Wisconsin, USA, with a workforce of 10001+ employees. Its website is https://www.advocateaurorahealth.org/.