Reimbursement Analyst

The US Oncology Network is looking for a Reimbursement Analyst to join our team at Texas Oncology! This full time remote position will support our Central Business Office at 3001 E President George Bush Hwy Richardson, TX 75082 This position will work 40 hours per week Monday - Friday.

Notes from the hiring manager: We prioritize your growth and success through our comprehensive training program. Enjoy the flexibility of working hours that adapt to your lifestyle, empowering you to achieve your best both personally and professionally.

As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, 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, 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.

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

What does the Reimbursement Analyst do? (including but not limited to)

Under direct supervision, supports the managed care function through analysis of new contracts, retrospective analysis of contracts, analysis and communication of reimbursement trends and preparation of managed care reports. Relies on instructions and pre-established guidelines to perform the functions of the job. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

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

• Conducts monthly payor audits to identify reimbursement issues of top payors. Conducts ad-hoc analysis in support of managed care activities.
• Prepares reports on reimbursement analysis trends. Documents and communicates findings to managed care and practice management teams to ensure optimal reimbursement.
• Maintains electronic managed care reimbursement schedules in A/R system.
• Conducts monthly receivables analysis by physician to identify billing participation issues in managed care plans.
• 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.

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

• Associates degree in Finance, Accounting or related business degree and two years experience in healthcare reimbursement, managed care or finance OR equivalent combination of education and work experience.
• Prior experience in statistical and financial analysis a plus.

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.