Note: The job is a remote job and is open to candidates in USA. Texas Oncology is a community oncology provider delivering evidence-based 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 negotiations, and maintaining compliance with applicable regulations and laws.
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