About Folio Clinical Research
Folio Clinical Research is a leading urologic research network treating urologic cancers, urinary stones, Peyronie’s disease, sexual and erectile dysfunction (ED), low testosterone, prostate disorders, urinary incontinence, and more. We partner with leading physician practices to create a cohesive, quality-oriented clinical culture, facilitating best practice sharing across our platform. Our affiliated practices gain access to a broad suite of clinical trials, providing significant benefits to both physicians and patients.
Position Overview
Folio Clinical Research is seeking a Clinical Research Accounts Receivable Specialist to own the collection of sponsor and CRO receivables across our clinical trial portfolio. This is a dedicated collections role. You will establish what is contractually owed, verify what has been invoiced and paid, and pursue outstanding balances through to resolution.
The ideal candidate reads a clinical trial agreement and knows what the payment schedule entitles the site to. You are comfortable working directly with sponsor and CRO finance contacts to resolve short-pays and aged balances, and equally comfortable working with site research teams to confirm what study activity occurred and what was invoiced, so that every receivable is accurately reconciled and fully supported.
This role reports to the VP, Finance and works within a small, hands-on finance team. If you want clear ownership of a function rather than one segment of a large AR department, this role offers it.
Key Responsibilities
- Own the sponsor and CRO accounts receivable portfolio; monitor aging and drive outstanding balances to resolution.
- Serve as the primary financial point of contact for sponsors and CROs on payment and receivable matters following contract execution.
- Review clinical trial agreements, work orders, and amendments to identify payment schedules, milestone and holdback terms, and pass-through provisions, and apply those terms to determine what is owed.
- Partner with site research teams and Clinical Operations to confirm study activity and what has been invoiced, closing gaps between operational records and billed revenue.
- Reconcile study activity against invoiced and collected amounts to confirm all billable items, including non-visit and pass-through items, are captured and supported.
- Research and resolve short-pays, underpayments, disputed line items, and payment discrepancies directly with sponsor, CRO, and payment vendor contacts.
- Identify revenue that has been earned but not invoiced or not paid, and pursue recovery of those amounts.
- Maintain a consistent collections cadence with documented follow-up and communication history for each account.
- Apply sponsor and CRO payments accurately and timely; investigate and resolve unapplied or misapplied cash.
- Prepare AR aging reports and collections status summaries; support month-end close with accurate receivable balances and write-off recommendations.
- Support end-of-study and close-out reconciliation to confirm all earned revenue has been invoiced and collected.
- Escalate collection risks, chronic payment delays, and unresolved disputes to the VP, Finance with recommended next steps.
Qualifications
- Three or more years of accounts receivable or collections experience in clinical research, with direct responsibility for collecting sponsor and/or CRO payments.
- Demonstrated ability to read clinical trial agreements and payment schedules and translate contractual terms into what is owed.
- Experience reconciling study activity against invoiced and paid amounts to identify missing or under-collected revenue.
- Track record of resolving payment disputes and aged balances directly with external finance contacts.
- Bachelor’s degree in accounting, finance, business, or a related field, or an equivalent combination of education and experience.
- Strong Excel skills, including formulas and pivot tables, for reconciliation and aging analysis.
- Ability to work independently and manage a full receivable portfolio without day-to-day direction.
Preferred Qualifications
- Experience generating sponsor and CRO invoices against clinical trial payment schedules.
- Experience at a clinical research site, site management organization, or site network.
- Working knowledge of a clinical trial management system (CTMS); CRIO familiarity a plus.
- Experience with Sage Intacct, NetSuite, or a comparable cloud-based ERP.
- Familiarity with milestone, holdback, and pass-through billing structures.
- Experience supporting revenue recognition or month-end close in a multi-entity environment.
- Experience in urology, oncology, or a related therapeutic area.
- Folio Clinical Research is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law.
Compensation and Benefits
Pay: $65,000.00 – $75,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid sick time
- Paid time off
- Vision insurance
Application Questions
- Will you now or in the future require sponsorship for employment visa status (e.g., H-1B, TN, etc.) to work in the United States?
- Is your accounts receivable or collections experience in clinical research, involving payments from sponsors or CROs on industry-sponsored trials?
- Have you worked directly from clinical trial agreements or payment schedules to determine what a sponsor owed?
- Have you reconciled study visit activity or other billable items against what was invoiced or paid? If yes, what did you use to do it?
- Do you have experience generating sponsor or CRO invoices, in addition to collecting on them?
- What clinical trial management systems (CTMS) and accounting or ERP systems have you used?
- Have you worked at a clinical research site, site management organization, or site network? If yes, where and in what capacity?
Experience
Collecting A/R from clinical trial sponsors or CROs: 1 year (Preferred)
Work Location: Remote



