Analyst I - Reimbursement

Overview

Texas Oncology is looking for a Reimbursement Analyst to join our team!  This full time remote position will support the Revenue Cycle Department at our 3001 E. President George Bush Highway Suite 100 location in Richardson, Texas.  Typical work week is Monday through Friday working a flexible eight hours between 6:00a - 5:00p.

Note from Hiring Manager:    Payment Variance is a rewarding department for individuals who enjoy investigating complex issues, analyzing payer contracts, and solving reimbursement challenges. The work directly impacts organizational revenue while providing opportunities to develop expertise in contracts, appeals, compliance, and revenue cycle operations.

Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma.  Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ^® in their fight against cancer.  Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

Why work for us?

Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas.  We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.

What Does the Analyst I – Reimbursement do?
Working under limited supervision, prepares and submits patient claims to appropriate third party payers. Reviews claims to ensure that payer specific billing requirements are met. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values. This position reports to the Director of Charge Entry and Revenye Cycle Support Services. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities

The essential duties and responsibilities (including but not limited to):

• 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.

Qualifications

The ideal candidate for the position will have the following background and experience: 

• Associates degree in Finance, Accounting or related business degree

Or

• Four (4) years of related work experience

and

• 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.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  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 Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Work is performed in an office environment and requires frequent interaction with corporate and practice staff and management.  Work may require some travel by air or automobile, approximately 5% of time.