Overview:



Texas Oncology is looking for a Reimbursement Analyst to join our team! This full time remote position will support the Payment Variance department at our Richardson Central Business Office location at 3001 East President Goerge Bush Hwy. There will be occasional travel to the office for meetings and training ao the candidate must reside close to our offices. Typical work scheudule is Monday-Friday; 6:00am to 5:30pm on a flex schedule.

Note from hiring manager : Our department is very structured and our organization has a focus on empathy and patient care.




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 Patient Support Administrator do? (including but not limited to)

Under general supervision, supports the managed care functions and strategies. Familiar with standard concepts, practices, and procedures. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A certain degree of creativity and latitude is required. 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 and
• A minimum of four 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.