Note: The job is a remote job and is open to candidates in USA. Texas Oncology is a community oncology provider delivering cancer care across Texas and southeastern Oklahoma. The Analyst I – Reimbursement supports the Revenue Cycle Department by auditing payer reimbursement, analyzing trends, assisting with fee schedule renegotiations, and maintaining reimbursement information while ensuring compliance with applicable regulations and confidentiality requirements.
Responsibilities
- Conducts detailed monthly payor audits to identify trends in reimbursement issues of payors. Conducts ad-hoc analysis in support of managed care activities
- Prepares and analyzes reports on reimbursement trends Documents and communicates findings to managed care and practice management teams to ensure optimal reimbursement
- Assists contract managers with renegotiations of fee schedules; provides information to validate proposed fee schedule changes
- Participates in quarterly provider relations meetings with health plan representatives to discuss reimbursement issues
- Updates and maintains reimbursement schedule information on the shared server as contracts are renegotiated
- Performs analysis and reimbursement functions in strict accordance to HCFA regulations and all local, state, and federal laws
- Maintains strict confidentiality of patient and financial information in assigned area of responsibility
Skills
- Associates degree in Finance, Accounting or related business degree
- Four (4) years of related work experience
- A minimum of four additional years experience in healthcare reimbursement, managed care or finance; or equivalent combination of education and work experience
- Prior experience in statistical and financial analysis required
- While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel
- The employee is occasionally required to stand, walk, and reach with hands and arms
- The employee must occasionally lift and/or move up to 30 pounds
- Requires vision and hearing corrected to normal ranges
- Work may require some travel by air or automobile, approximately 5% of time
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability coverage
- Long-term disability coverage
- Generous PTO program
- 401k plan with a company match
- Wellness program that rewards practicing a healthy lifestyle
- Tuition reimbursement
- Employee Assistance program
- Discounts on some favorite retailers
- Flexible work schedule: Monday through Friday, working eight hours between 6:00 a.m. and 5:00 p.m.
- Full-time remote position
Company Overview