Financial Analyst - Albuquerque - University of New Mexico

    University of New Mexico
    University of New Mexico Albuquerque

    6 days ago

    Default job background
    Description

    Financial Analyst


    The University of New Mexico Comprehensive Cancer Center is seeking a Clinical Trials Financial Analyst to review clinical research protocols, informed consent forms, clinical trial agreements, and other relevant study-related documents to create a Medicare Coverage Analysis.


    Responsibilities:

    • Review clinical research protocols, informed consent forms, clinical trial agreements, and other relevant study-related documents to determine whether the proposed clinical research study is a qualifying clinical trial as defined by the Medicare Clinical Trial Policy (NCD 310.1).
    • Create a billing justification plan or 'coverage analyses' to reflect which medical procedures and services are 'Routine Cost' and billable to patient insurance and which ones are research and paid by the study sponsor for investigator-initiated, industry-sponsored, and non-industry sponsored clinical trials across multiple clinical working groups.
    • Disseminate the coverage analysis, the related guidance and their effect on research billing processes to all appropriate parties, including Principal Investigator, research team, affiliate sites, and other research and administrative staff.
    • Assist with the development of institutional policies and procedures pertaining to clinical research budgeting and billing, including the MCA process.

    Requirements:

    • Bachelor's degree; at least 3 years of experience directly related to the duties and responsibilities specified.
    • Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

    Preferred Qualifications:

    • Experience in healthcare finance, clinical trial budgeting, and operations analysis.
    • Experience and knowledge of clinical trial protocols.
    • Demonstrated experience in Clinical Research Billing and Billing Compliance.
    • A demonstrated understanding of Research Billing Compliance including National and Local Coverage Determination for coverage of routine costs and the CMS Clinical Research Policy as well as professional practice guidelines.
    • A demonstrated knowledge of regulatory, financial and administrative requirements of Medicare and third-party billing of clinical trials.
    • Certification in coding, Procedural Terminology, and Healthcare Common Procedure Coding system is preferred.
    • Advanced knowledge of Microsoft Excel.
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