Banner Health Job - 31755424 | CareerArc
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Company: Banner Health
Location: Phoenix, AZ
Career Level: Associate
Industries: Hospitals, Health Care


Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, we want to hear from you.

Banner Alzheimer's Institute (BAI) is committed to ending Alzheimer's before we lose another generation. Banner Research Finance provides support to investigators and study teams initiating and conducting clinical trials and supported studies span the vast network of Banner Health facilities and include the University of Arizona Medical Center. The department negotiates payment terms with industry and nonprofit sponsors, creates coverage analyses, sets up study plans in the Clinical Trial Management System (CTMS), and oversees the proper billing for charges in the hospital's billing systems. The department's approach is to empower employees to work at their own schedule in meeting deadlines. Join us and watch your research finance career really take off!

As a Clinical Research Financial Analyst, you will have the opportunity to conduct facility and professional charge review, payer coverage analysis, verify compliance of billing practices, budget creation for clinical trials, and budget negotiations. You will also build study plans and work with multiple departments once a fully executed contract comes through. You will lead meetings with financial accountants responsible for invoicing, as well as the Clinical Trials Senior Managers.

Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

About Banner Alzheimer's Institute
BAI was established in 2006 as Banner Health's first Center of Excellence. Banner Health is one of the largest nonprofit health care systems in the United States. Our team is uniquely, passionately and strategically committed to ending Alzheimer's without losing another generation and to providing an unparalleled model of care for families facing this devastating disease. BAI is committed to improving people's lives through excellent patient care and advances that capitalize on the best biomedical research. We intend to make a transformational difference in Alzheimer's research and care.

About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

Job Summary

This position provides pre-initiation research study evaluation including cost, coverage, and overall financial benefit analysis. Ensures analytical evaluations provide relevant and complete measures of cost, revenue, and billing projections and processing. Ensures regulatory compliance and financial coverage. Develops and maintains effective project relationships. Translates medical service priorities into effective research development activities and support allocations to ensure research leads to desired outcomes consistent with organizational goals.

Essential Functions

  • Completes Cost and Coverage Analysis. Completes CCA for all BH research studies utilizing clinical skills, good clinical practices and knowledge of research and government regulations to evaluate each new study and determine appropriate coverage and billing requirements. Serves as a knowledgeable consultant to guide other personnel on the determinations of what patient care items and services are considered standard of care. Creates study budget for any and all research activity occurring within a BH facility to accurately determine relevant costs associated with all research activity. Negotiates study budget, with study Sponsor integrating Medicare Coverage rules and allowances into contract to ensure proper reimbursement and study billing requirements are met. Assesses study financial risk/benefit ratio.

  • Ensures regulatory compliance and financial coverage. Ensures compliance with required federal, state, funding source, and other applicable governing entities regarding regulations, laws, and statutes governing the scope of research activity. Accesses the Clinical Trials Management System to obtain names of human subjects to ensure that research related charges are billed appropriately. Acts as a liaison between finance departments, patient financial services, facility research directors and system reimbursement services for the purpose of communicating information regarding the National Coverage Decision for clinical trials and other federal research regulations. Serves as a resource and provides leadership assistance for research participants; asks questions regarding financial coverage issues to ensure service excellence.

  • Performs for cause and random patient account audits to ensure compliance.

  • Develops and maintains effective project relationships. Coordinates closely with Banner Research and University of Arizona staff in the study approval process; meets project timelines and department goals of optimal clinical, operational, financial and satisfaction outcomes. Interacts with sponsors, physicians, colleagues, facility administrators, facility CFOs and patient financial services to ensure effective communication and project coordination. Translates medical service priorities into effective research development activities and support allocations to ensure research leads to desired outcomes consistent with organizational goals. Leads and administers research projects by promoting research and collegiality between physician investigators, staff, facility administrators, and department heads. Leads, facilitates and or participates in task forces or councils to plan, implement and coordinate programs and/or activities for the organization.

  • Minimum Qualifications

    Bachelors degree in business or healthcare related field or an equivalent combination of education and experience.

    Three to five years related experience working directly with clinical research charge review and billing, coverage analysis, and clinical trials budgeting and negotiations. Proven analytical and modeling skills. Working knowledge of computer spreadsheets and other computer applications.

    Preferred Qualifications

    Proven working knowledge of medical terminology and experience with CPT, HCPCS, ICD10 codes as they relate to clinical research billing. Experience utilizing a Clinical Trials Management System.

    Additional related education and/or experience preferred.

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