Analyst I - Reimbursement

Summary

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 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

Qualifications

Must Haves

• 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