Analyst I - Reimbursement

The US Oncology Network•Richardson, TX

4d•Remote

About The Position

The US Oncology Network is looking for an Analyst I - Reimbursement to join their team at Texas Oncology. This is a full-time, remote position supporting the Charge Corrections/Edits Department. The role involves preparing and submitting patient claims, reviewing them for accuracy against payer requirements, and adhering to standard procedures and guidelines. The position also requires supporting the US Oncology Compliance Program, including the Code of Ethics and Business Standards, and US Oncology's Shared Values. This role reports to the Director of Charge Entry and Revenue Cycle Support Services.

Requirements

High school diploma or equivalent required.
Minimum of two (2) years in healthcare reimbursement, managed care or finance; or equivalent combination of education and work experience.
Proficiency with computer systems and Microsoft Office (Word and Excel) required.
Must successfully complete required e-learning courses within 90 days of occupying position.

Nice To Haves

Working knowledge of state, federal, and third party claims processing preferred.

Responsibilities

Ensures claim forms are completely and accurately filled out.
Updates and maintains patient billing data and ensures documents are current.
Reviews patient charts for completeness.
Enters charges, processes, and submits insurance claims to third party payer.
Completes data entry of the charges into Practice Management System.
Completes review of interface transactions and resolution of TES edits.
Identifies and reports any payer trends, denial patterns, and delays to management.
Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient's records and collections.
Maintains strict confidentiality of patient and financial information in assigned area of responsibility.
Other duties as requested or assigned.