Salary is commensurate with qualifications and experience.
The University of Washington (UW) is proud to be one of the nation's premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty.
UW Medicine is comprised of Harborview Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, UW Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine and Airlift Northwest. In addition, its members work closely with Seattle Children's Hospital and Medical Center, Veterans' Administration Puget Sound Health Care System, Seattle Cancer Care Alliance, Fred Hutchison Cancer Research Center and significant and extensive regional and multi-state collaborative relationships.
The University of Washington School of Medicine (SOM) is a world leader in biomedical research. Among U.S. schools of medicine, we are top ranked as the largest public university in National Institute of Health funding. The School's mission is excellence in education, research and clinical care. It is the academic home of the UW Medicine health system.
Clinical Research Budgeting & Billing (CRBB) is the operational unit within the School of Medicine's Office of Research and Graduate Education that is charged with ensuring research budgets and billing plans are fiscally sound and comply with evolving institutional and regulatory requirements.
CRBB is responsible for:
developing and/or reviewing UW SOM clinical research study budgets for fiscal soundness and consistency with study protocols, grants and/or contracts and informed consent documents;
ensuring that a Clinical Trials Policy analysis has been performed and a billing grid established for each study prior to initiation;
invoicing research studies and for clinical services, items and/or tests provided by UW Medicine hospitals and clinic;
establishing, maintaining and continuously improving clinical research budgeting and billing policies and procedures to maintain compliance with relevant institutional, agency, and federal policies and regulations;
providing UW Medicine clinical research faculty and staff with support, technical assistance, tools, resources, education and outreach regarding clinical research budgeting and billing processes, Medicare's Clinical Trials Policy, and other third party payor reimbursement issues;
maintaining inventories of clinical research studies and study subjects reported by research study teams;
supporting the research billing auditing program and reporting unresolved billing concerns to appropriate compliance offices.
CRBB works with key partners in UW Medicine to continuously improve clinical study budgeting and billing procedures by evaluating existing policies and procedures and recommending and implementing enhancements to the clinical research financial management infrastructure.
CRBB has an outstanding opportunity for a Clinical Research Budget Specialist.
This position supports investigators and sites of practice in the creation of detailed budgets and billing grids for clinical research studies that include clinical services, items, or tests provided by UW Medicine facilities and/or members of UW Physicians (UWP). The successful candidate will assist study coordinators and investigators with budget development, will negotiate final budgets with sponsors, and collaborate on process improvements benefiting internal operations and study team services. Attention to detail, efficiency, and a strong team orientation are essential to this position.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES
Coverage Analysis, Budget Review and Negotiation
Understand and exercise independent judgment and discretion in the interpretation and application of the Medicare Clinical Trials Policy, and all relevant UW Medicine clinical research budgeting and billing policies and procedures;
Perform comprehensive and independent review of all documents related to research study funding, including the research study budget, protocol, contract, informed consent and other supporting documentation;
Analyze, interpret and apply internal and external research billing policies, assisting faculty, study staff, and clinical managers in determining applicable review requirements and facilitating timely budget approval;
Analyze, interpret and apply Medicare coverage rules; identify services as non-covered research-only care, usual care, expanded care and investigational items and services along with their associated costs; advise investigators and study staff on applicable regulatory requirements;
Review and/or develop study billing grids and budgets that are in accordance with Medicare coverage analyses and rules;
Provide excellent customer service and accurate guidance to clinical research study teams regarding clinical research budgeting and billing policies and procedures. Keep study teams apprised of project status;
Negotiate budgets and payment terms of studies involving industry funding.
Update CRBB database and comprehensive electronic study documentation for each clinical research study, in compliance with UW and CRBB policies, procedures and standards;
Participate in internal and interdepartmental project teams within UW Medicine as assigned;
Assist in development of content for CRBB website and outreach documents;
Perform office management functions and other duties as required.
Education & Communication
Deliver on-going education to School of Medicine investigators, research staff and practice site staff on research budgeting and billing policies, procedures and tools;
Serve as a primary point of contact across multiple sites of practice and UW School of Medicine departments to disseminate information for clinical trial budgeting and billing;
Assist in the development of UW Medicine policies, standardized procedures and tools for clinical research pricing, budgeting and billing; assist in review of regulations to ensure ongoing compliance with federal and institutional policies;
Support UW Medicine hospitals and practice plan staff with implementing, maintaining and improving appropriate clinical research revenue cycle procedures.
A Bachelor's degree in science, business, healthcare administration or related field and at least three years related experience or equivalent combination of experience and education.
Minimum of three years of experience with budget development/negotiation and clinical research study coordination/management.
Ability to convey complex policy, financial and scientific/technical information in a manner that is understandable to a wide audience.
Strong working knowledge of Microsoft Excel, Access, and Share Point.
Ability to teach and mentor others in group settings, in one-on-one sessions, and remotely.
Ability to prioritize, organize work independently and multitask.
Ability to work effectively and efficiently in a group environment.
Exceptional customer service skills.
Strong written and oral presentation skills.
Ability to communicate effectively with all levels of staff, faculty, management and site of practice staff.
Experience in academic health system operations or medical setting.
Accounting and finance experience.
Knowledge of the Medicare Clinical Trials Policy and other federal, state and institutional clinical research regulations.
Experience with using International Classification of Diseases, 10th Revision (ICD-10), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) billing codes in a clinical research environment.
Familiarity with electronic medical records and healthcare business systems. Experience working with web-based solutions.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergra...duate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.