Research Financial Specialist

Employment Type:Full timeShift:Day ShiftDescription:About the RoleThis role will support research financial processes across Loyola Medicine service lines. This role is critical to ensuring accurate charge segregation, maintaining research billing compliance, managing Medicare Coverage Analyses (MCA), and resolving billing disputes.What You’ll DoPerform charge segregation and corrections in alignment with approved Medicare Coverage Analyses (MCA)Manage research financial workflows, including statement review and resolution of disputed chargesIdentify and escalate high-risk studies and potential audit concernsIndependently review, update, and amend Medicare Coverage Analyses based on clinical trial documentationMaintain and update research fee schedulesAssist in identifying and validating CPT codes for research-related procedures and servicesCollaborate with cross-functional teams (e.g., Revenue Integrity, Compliance) to ensure compliant billing practicesProvide back-up support to the Clinical Research Business AnalystEnsure adherence to federal, state, and local regulations, as well as Trinity Health policies, Code of Conduct, and compliance standardsDemonstrate Trinity Health Mission, Values, Vision, and guiding behaviors in daily workWhat You’ll NeedRequired Qualifications2–4 years of experience in research, medical billing, or codingStrong knowledge of Medicare Coverage Analyses, with the ability to interpret and apply clinical trial documentationExperience working with Epic systems, including reviewing and analyzing charge reportsSolid understanding of clinical research billing regulations and workflowsStrong analytical skills with high attention to detailAbility to work independently, manage competing deadlines, and prioritize workload effectivelyExcellent communication skills with the ability to work across multiple departmentsPreferred QualificationsBachelor’s degree in Finance, Healthcare Administration, or a related field (experience may substitute for education)Formal training in Medicare Coverage Analysis and/or clinical trial billing complianceCertified Professional Coder (CPC – AAPC) preferredSOCRA or ACRP certification preferredCompensation:Salary Range: $31.06 - $48.15 per hour Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles. Benefits:  Click or copy URL to your browser:www.trinity-health.org/sites/default/files/my-benefits/Health-and-Wellbeing/Compliance/Illinois-Transparency-Law/Trinity-Health-Summary-of-Benefits-Illinois-Job-Req-Discloser-Law.pdfOur Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.