University Hospitals

Clinical Research

• Provide safe and efficient age-specific nursing care to patients/families using the nursing process in combination with clinical research protocol requirements.
• Works in collaboration with the Principal Investigator to coordinate and implement assigned clinical research studies in accordance with Good Clinical Practice (GCP) guidelines.
• Responsible for submission of related documents to the appropriate research review committees and maintenance of regulatory documentation.
• Performs day-to-day activities related to clinical research studies including: recruit and screens participants, obtain informed consent, educate participants regarding study requirements, and complete source documents and case report forms (CRFs).
• Conducts nursing assessments of research participants including appropriate reporting.
• Documents, records and assimilates accurate participant records and study records to ensure documentation compliance with sponsor guidelines, standard operating procedures (SOP) and internal and external regulatory agencies.
• Establish and maintain communications with Investigator, Sponsor and internal constituents.
• Performs other duties as assigned.

Clinical Research Nurse Specialist I, BSN, Peds Endo Metabolism

Analyst

• Provide quality and organizational excellence through support of process improvement initiatives.
• Perform problem solving, independent decision-making, and coordination of quality programs.
• Audit across eligible areas within the pharmacy operations, as related to the 340B Drug Pricing Program.
• Evaluate patient eligibility for qualified and non-qualified patients by reviewing patient medical records, insurance plans, and visit statuses.
• Conduct daily audits of contract pharmacy claims to ensure 340B compliance and address and resolve reconciliation issues as they arise.
• Utilize data management tools to filter out non-eligible transactions, including drugs used to treat patients during inpatient care, Medicaid patients, manufacturer-provided free drugs, non-eligible locations, or prescriptions written by non-eligible providers.
• Collaborate with affiliated departments to ensure the integrity of the 340B Contract Pharmacy Program.
• Actively work on improving 340B program compliance through ongoing audits and process enhancements.
• Perform other duties as assigned.

340B Analyst

Customer Support

• Responsible for interviewing/registering/instructing patients in a face-to-face setting or on the telephone.
• Enters and validates medical, demographic, insurance, financial, and business data in a timely and courteous manner to ensure master patient index integrity and creation of an accurate claim.
• Maintains confidential health records, processes physician orders, and schedules medication deliveries.
• Identifies and communicates need for interpreter services.
• Provides patient education regarding third party coverage and liabilities.
• Communicates possible payment options and personally connects patients to financial assistance for copays if needed.
• Collects, posts, and balances co-pays, deductibles and other patient payments.
• Handles a wide variety of patient inquiries regarding services and logistics to ensure patients can access care with maximum throughput and minimal delay.
• Recruits and trains patients to access Epic MyChart.
• Ensures achievement of productivity and quality standards.
• Maintains up-to-date knowledge of computer systems, insurance/government regulations and UH/PAS policies/procedures used within the department.
• Prepares standard patient materials including forms, labels, brochures, surveys, etc.

Pharmacy Support Representative, Patient Engagement

• Coordinate and manage the regulatory operations for clinical research studies conducted by principal investigator(s) at University Hospitals Case Medical Center (20%)
• Complete regulatory documentation required to conduct clinical research with the IRB, pharmaceutical sponsor, and other internal/external agencies or committees (20%)
• Coordinate and perform study specific regulatory processes across multiple complex studies of different therapeutic areas and phases including IND or IDE held investigator initiated trials (30%)
• Manage regulatory processes to maintain compliance with SOPs, GCP guidelines, sponsor guidelines and current regulations (20%)
• Embraces the principles and practice of leadership and professionalism in clinical research. Provides mentorship and training on the clinical trial and regulatory process to staff members (10%)
• Additional Responsibilities Performs other duties as assigned.

Clinical Research Regulatory Specialist II, Peds Hematology/Onc

Accounts Payable

• Processes purchase order supplier invoices through KTM in a timely manner and meets targeted quotas.
• Reviews and approves Non-PO invoices (SSI) according to policy and procedure and meets targeted quotas.
• Reviews and resolves Markview systems working folder on a timely basis.
• Coordinate the resolution of SSI invoice issues with end users via numerous communications methods, emails, phone calls, etc.
• Coordinate the resolution of sending PO invoice issues to Sr. Rep/Buyers.
• Instruct and answer questions on the submission process according to policy & procedure.
• Resolves Markview backlog queues as assigned by Corporate Accounts Payables Manager, opens mail, and scans supplier invoices into Kofax systems.
• Reviews and resolves Markview systems working folder on a timely basis.
• Answers and effectively resolves internal and external phone calls in a timely manner.
• Assumes additional responsibilities and performs special projects as directed.
• Responsible for processing high volume expenses via IExpense.
• Review, audit and approves employee expense reports according to policy and procedure.
• Responsible for processing timely, yearly graduating residents.
• Responsible for processing physician tuition expenses with special requirements.
• Review and audit of expense reports for required tier lever approvals and out of policy forms.
• Performs trip number request approval and processing.
• Responsible for processing high volume requests via OnBase, AP Supplier emails, Supplier Correspondence emails, and correspondence daily.

AP Specialist II, Accounts Payable

Medical Billing and Coding

• Responsible for accurately and timely coding of moderately complex encounters following established coding, CMS regulations and hospital guidelines.
• Reviews moderately complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines.
• Responsible for accurately coding hospital same day surgery, observations, ancillary, ED encounters and/or professional services.
• Ensures optimal CPT, ASC, APC, APG assignment as applicable.
• Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD, and MUE.
• Supports OP Clinical Documentation Improvement program.
• Maintains productivity and quality rate according to established standards.
• Works within UH Billing time frames.
• Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars.
• Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department.
• Maintains up to date credentials.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).

Pro Fee Coding Specialist II

Systems Engineer

• Coordinates and participates in unit and integrated testing activities of the software
• Participates in supporting and troubleshooting interfaces for inbound/outbound
• Works with other clinical and application analysts to insure system integrations
• Participates in change management activities to support successful system deployments and enhancements
• Identifies and analyzes moderately complex issues with vendor assistance
• Develops policies and procedures in collaboration with clinicians and other system analyst team members
• Creates and maintains appropriate system documentation
• Participates in application upgrades and troubleshooting efforts
• Creates reports, dashboards, and other analytical tools to support customer base

Radiology Informatics Applications & Systems Analyst I

• Handle inbound and outbound customer calls minimally half the time to resolve inquiries in a timely and accurate manner
• Research and document all information from phone conversations
• Process payments by phone via electronic check, credit card
• Assist patients with payment plan arrangements including collecting initial down payment
• Maintain patient and physician confidentiality and professionalism
• Perform various duties such as: Researching accounts, processing adjustments, refunds
• Perform follow up with insurance companies to ensure appropriate payment on claims

Customer Service Billing Representative

Administration

• Provide technical support for Radiology Digital Imaging systems.
• Supports UH Radiology PACS system.
• Notify and coordinate installations with Vendor personnel when adding new modalities, hardware or networking drops.
• Supports Imaging modalities, including modality worklists.
• Maintain and improve UH’s network and systems infrastructures.
• Install and configure workstation hardware and software supplied by the organization.
• Assists with the development and maintenance of system documentation.
• Troubleshoots issues with vendor assistance, to resolution.
• Supports/troubleshoots Radiology Informatics Supported inbound/outbound interfaces as appropriate.
• Creates reports as needed and works problem tickets.
• Develops and maintains productive working relationships with the Radiologists, Directors, Managers, Supervisors for the enterprise.
• Utilizes and maintains appropriate change control procedures and standards.
• Maintains and updates job related technical skills.
• Performs on-call duties as required.
• Performs other duties as assigned.