Job Description

General Summary

Under general supervision, develops, analyzes, reports and interprets financial information related to patient care services research revenue. Assists management in the formation, implementation and execution of the organization’s research billing plans, including, but not limited to, working with investigators, administrators, and study coordinators. Participates in providing analytical and technical support regarding research billing and collections, research pricing analysis, regulatory policies and procedures and/or volume and revenue analysis. Works collaboratively with departments and Research Revenue Integrity team to implement the recommendations.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Prepares research revenue related reports and key performance metrics. Reviews transactions and reconciles information from various reports and prepares summary information for reporting departmental research accounts receivable to UMMS leadership.
• Prepares various reports, surveys and special projects as requested by senior leadership or for miscellaneous requesting agencies in accordance with departmental procedures.
• Reviews study schedules and services to ensure accuracy of billing/charging utilizing knowledge of a research billing coverage review. Facilitates the application of appropriate payment and adjustments to study accounts.
• Handles investigator, administrator, study coordinator and patient concerns with professionalism and customer service skills. Provides answers for questions in a reasonable response time. Relays any suggestions and complaints to immediate supervisor for review.
• Shares information with team to improve the integrity of data and with the manager to solve existing problems with system or data and effectively promote avoidance of future problems.
• Develops and maintains Access databases to track payments and accurately reconcile outstanding accounts receivable. Independently follows up with departments on outstanding accounts receivable.
• Establishes and maintains contact with departments and agencies to encourage communication among various UMMS and School of Medicine personnel. Develops contacts from other departments to assist in resolving issues effecting payment of services to research study accounts. Regularly pursues contact with outside sources for establishment of policy and procedure awareness.
• Represents the appropriate department staff when required to discuss outstanding payments, reimbursement and budgeting issues in accordance with department procedures. Presents relevant data and serves as a financial resource to the team.

Qualifications

Education and Experience

• Bachelor’s degree required. Specialization in Healthcare, Public Health, Finance, Nursing, or equivalent related subject is preferred.
• One (1) year of progressively responsible financial planning, financial analysis, budgeting, reimbursement or accounting experience is required, or the equivalent combination of education and experience is acceptable. Healthcare-related finance background is preferred.

Knowledge, Skills and Abilities

• Ability to judge the level of confidentiality of information/activities involved in and exhibit integrity in use of dissemination of such information.
• Effective verbal and written communication skills are necessary in order to communicate effectively with investigators, study coordinators, clinicians, patients and insurance companies.
• Organizational and problem solving skills are required to develop/implement efficient work processes.
• Presentation, interpersonal, and negotiating skills are needed to build collaborative relationships with customers and leadership.
• Demonstrated knowledge of spreadsheets (i.e., Microsoft Excel), word processing programs (i.e., Microsoft Word), graphic/specialty and other finance-related software programs and ability to quickly learn new programs.
• Effective data analytics skills required. Ability to organize, combine, filter, and perform calculations on large datasets.
• Ability to work effectively in a stressful work environment.

Additional Information

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