[Hiring] Analyst I - Reimbursement @The US Oncology Network

Role Description

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.

Payment Variance is a rewarding department for individuals who enjoy:

• Investigating complex issues
• Analyzing payer contracts
• Solving reimbursement challenges

The work directly impacts organizational revenue while providing opportunities to develop expertise in:

• Contracts
• Appeals
• Compliance
• Revenue cycle operations

Working under limited supervision, the Analyst I – Reimbursement prepares and submits patient claims to appropriate third-party payers. Responsibilities include:

• Reviewing claims to ensure that payer specific billing requirements are met
• Following standard procedures and pre-established guidelines to complete tasks
• Supporting and adhering to the US Oncology Compliance Program, including the Code of Ethics and Business Standards
• Reporting to the Director of Charge Entry and Revenue Cycle Support Services

Qualifications

• Associates degree in Finance, Accounting or related business degree
• Or 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

Requirements

• 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

Benefits

• 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 for practicing a healthy lifestyle
• Tuition Reimbursement
• An Employee Assistance program
• Discounts on some of your favorite retailers

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
• Occasionally stand, walk, and reach with hands and arms
• 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.