Job Title

Clinical Research Finance & Billing SpecialistLocation: Phoenix, Arizona (Part-Time)Department: Finance & OperationsReports To: President (or delegated executive)About Axsendo Clinical ResearchAxsendo Clinical Research is a fast-growing, multi-site clinical research network focused on advancing Neurology, Cardiology, Metabolic Disease, Vaccines, and Medical Device innovation. With active operations across several markets, we support a high volume of clinical trials and are expanding our financial operations infrastructure to match our growth. We are seeking a part-time Clinical Research Finance & Billing Specialist to support accurate, compliant, and efficient financial workflows across the organization.Position OverviewThe Clinical Research Finance & Billing Specialist is responsible for managing study-related billing, sponsor invoicing, payment reconciliation, participant reimbursements, and financial activities tied directly to clinical trial operations. This role ensures Axsendo maintains accurate financial tracking across all active studies while supporting seamless communication between clinical operations, investigators, sponsors, CROs, and our outsourced accounting team.This is a part-time position designed for an experienced clinical research financial professional who can operate independently and bring structure, accuracy, and oversight to multi-site billing workflows.Key ResponsibilitiesClinical Research Billing & Study Financial Operations• Prepare and manage sponsor invoicing for visit-based billing, screen failures, pass-through items, milestone payments, and other budgeted items• Maintain detailed accounts receivable tracking and follow up on outstanding sponsor payments• Process and reconcile participant reimbursement payments according to study protocol and sponsor requirements• Review and track PI payments, investigator stipends, and ensure accurate allocation per CTA and budget• Monitor budget-to-actuals for assigned studies and support financial forecasting for active protocols• Assist in ensuring billing compliance with CTAs, budgets, and clinical protocol requirementsCoordination With Outsourced Accounting Firm• Serve as the internal point of contact for the outsourced accounting/tax firm• Provide timely documentation, coding, and financial details for monthly close• Review reconciliations, journal entries, and financial statements prepared by the outsourced firm• Support cost classification, accrual validation, and GAAP-aligned reporting processesInternal Controls & Compliance• Maintain financial SOPs tied to study billing, receivables, reimbursements, and sponsor payments• Verify compliance with sponsor contracts, internal financial processes, and clinical research guidelines• Support audit preparation, monitoring visits, and financial documentation requests• Maintain confidentiality and secure handling of financial and research-sensitive informationSystems & Process Support• Utilize CTMS financial modules, participant payment systems, and sponsor portals for billing workflows• Identify and recommend process improvements across billing, reconciliation, and study budget tracking• Support site operations with financial reporting needs related to enrollment, forecasting, and study activationQualificationsEducation• Bachelor's degree in Accounting, Finance, Business, Health Administration, or related field preferredExperience• Minimum 3 years of clinical research financial experience required (pharma, medical device, CRO, or research site)• Hands-on experience with study budgets, sponsor invoicing, and participant/stipend payments• Experience working with CTMS financial tools strongly preferred• Prior collaboration with outsourced accounting teams is a plusTechnical Skills• Strong Excel skills• Proficiency with CTMS financial modules and payment platforms• Familiarity with EMR/EDC billing triggers preferred• Working knowledge of GAAPCore Competencies• High attention to detail and accuracy• Ability to manage multiple studies and deadlines in a fast-paced environment• Strong communication with both operations and accounting teams• High integrity and confidentiality• Solution-oriented mindset with an understanding of clinical research workflowsEmployment TypePart-Time (approximately 15-25 hours per week, depending on study volume)CompensationCompetitive hourly rate commensurate with experience(If you want, I can provide a recommended Phoenix market range for this role)Why Join Axsendo• Play a key role in supporting a growing multi-market clinical research organization• Work collaboratively with clinical and accounting teams across multiple therapeutic areas• Flexible part-time schedule with meaningful impact and the ability to grow into a full-time role• A positive, professional culture centered on service, reliability, and operational excellence