Financial Analyst (Clinical Trials Research/ Revenue Cycle)

Northwestern Memorial Healthcare - Chicago, IL

Full-time - Mid Level

Chicago, IL

Hospitals

About the position

The Financial Analyst position at Northwestern Medicine focuses on clinical trials research and revenue cycle management. This role is essential in ensuring compliant billing practices and supporting research teams by interpreting medical documentation and clinical research protocols. The analyst will work closely with various payors and maintain a detailed understanding of billing regulations to facilitate accurate charge allocation and billing processes.

Responsibilities

• Review designated Epic work queues routinely and facilitate allocation of charges in alignment with the coverage analysis to ensure timely and compliant billing.
• Review and reference study documents (protocol, consent form, budget, clinical trial agreement, coverage analysis) to identify research related charges impacting NMHC, and to ensure and support compliant billing.
• Maintain a detailed understanding of and adhere to rules and regulations of different types of payors, such as Medicare, Medicare Advantage, Medicaid, and commercial payors, inclusive of Medicare's Clinical Trial Policy (NCD 310.1) and related guidance.
• Act as a resource to research teams to aid in identification of items and services related to the research and assignment of the appropriate payor.
• Maintain knowledge and proficiency in Epic, clinical trial management system, charge master/fee schedule, and relevant government and non-government websites.

Requirements

• 3+ years of relevant experience.
• Ability to understand and interpret medical documentation and clinical research protocols, informed consent, Coverage Analysis Billing Grid.
• Proficiency with medical terminology as well as medical research billing language.
• Excellent communication, collaboration, analytical, and accounting skills.
• High level of precision and attention to detail.
• Expert knowledge of Microsoft Office Suite.

Nice-to-haves

• Associates Degree
• Working knowledge of Epic
• Knowledge of medical and insurance terminology
• Understanding of Medicare billing rules and functional knowledge of essential National Coverage Decisions and the CMS Clinical Research Policy
• Healthcare finance experience.

Benefits

• Tuition reimbursement
• Loan forgiveness
• 401(k) matching
• Lifecycle benefits