Top 9 Reimbursement specialist Jobs in Tempe Az

Provider Reimbursement Analyst
TriWest Healthcare Alliance —Phoenix, AZ
- $78,000 - $92,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Finance
- AD&D insurance
- Disability insurance
Field Reimbursement Manager
サイネオス・ヘルス —Phoenix, AZ
- $160,000 - $170,000 a year
- Mid-level
- Driver's License
- Bachelor's degree
- Health insurance
- Dental insurance
Rare Reimbursement Executive, Southwest
UCB —Phoenix, AZ
- Mid-level
- Office
- Master's degree
4d
Field Reimbursement Manager - Neurology (Mountain West)
Regeneron —Phoenix, AZ
- $165,600 - $209,600 a year
- 5 years
- Bachelor's degree
- Neurology
- Health insurance
- Dental insurance
Field Reimbursement Manager
Syneos Health Commercial Solutions —Phoenix, AZ
- Mid-level
- Driver's License
- Bachelor's degree
- Health insurance
- Dental insurance

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Field Reimbursement Manager
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Documentation and Reimbursement Specialist
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Five years of experience in related field (physician billing experience), preferred. As required by listed licensure and/or certification requirement.

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Provider Reimbursement Analyst

TriWest Healthcare Alliance -
Phoenix, AZ

Apply Now

Job Details

Full-time
$78,000 - $92,000 a year

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Health data analysis
Medicare coding guidelines
CMS
Business intelligence report generation
Performance Reporting
SQL
Documentation tools
Health insurance knowledge
Data management
Data-driven problem-solving
Centers for Medicare & Medicaid Services (CMS) billing regulations
Health information management
Productivity software
Query management
Financial data analysis tools
Information management
Healthcare data reporting
Excel data analysis

Full Job Description

Profile

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

Job Summary

Responsible for supporting provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed corporate objectives for medical cost containment. Analyzes claims, utilization, and medical cost data. Supports the development of strategic, cost effective programs, and makes system or network changes to enhance competitive position. This role requires knowledge of healthcare coding and reimbursements, strong analytical skills, ability to work with large multi-dimensional sets, an ability to identify negative and positive trends, and strong communication skills that enable clear communications to leadership regarding findings. Provider Services leadership will use these findings to make informed decisions regarding financial goals tied to provider reimbursements.

Education & Experience

Required:

Bachelor's degree in Business Administration, Finance, Healthcare, Information Management or equivalent experience
3 years’ experience in healthcare analysis, data management or equivalent
Strong knowledge of CMS coding and provider reimbursement methodologies
Proficient in Microsoft Office suite, with an emphasis in Excel and data analysis and reporting
Working knowledge of structured query language (SQL), and SQL Reporting Services (SRS)

Preferred:

Quality or Process Improvement experience
Experience with data visualization tools such as Tableau, Power BI, etc.
Government claims experience
Work with alternative payment models

Key Responsibilities

Assesses provider payments against TriWest targets for reimbursements to include discounts and alternative payment models (APMs, e.g. pay for performance) Acquires claims data from primary or secondary data sources.
Identifies, analyzes, and interprets trends or patterns in complex claims data sets and provider data files
Develops visualizations and presentations to summarize and explain data findings or reimbursement issues.
Evaluates the completeness and accuracy of claims data.
Works closely with Provider Services and Finance leadership and SMEs on process and quality improvement strategies and/or provider education efforts, resulting from claims data analyses and findings.
Define problems, collect claims data, establish facts, analyze claims data, and report the findings to appropriate stakeholders.
Collect, aggregate and disseminate data in understandable, digestible, and useful ways across the organization.
Will effectively present claims data information and respond to detailed claims payment or coding questions from varied internal or external groups

Competencies

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach.

Information Management: Ability to manage large amounts of complex information easily, communicate it clearly, and draw sound conclusions.

High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment.

Technical Skills: Advanced analytical skills; knowledge of fundamentals of accounting and sound business processes; extensive knowledge of Microsoft Excel; proficient with Word; process diagram and documentation experience preferred; research and project management skills.

Working Conditions

Working Conditions:

Favorable working conditions in a climate-controlled office space
May work within an office environment

Company Overview

Taking Care of Our Nation’s Heroes.

It’s Who We Are. It’s What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!

Our job is to make sure that America’s heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

DoD Statement

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Benefits

We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

Medical, Dental and Vision Coverage
Paid time off
401(k) Retirement Savings Plan (with matching)
Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
Tuition reimbursement
Paid volunteer time

TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $78,000 - $92,000 per year.

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

Apply Now

Refine Your Search

reimbursement specialist jobs in tempe az

Provider Reimbursement Analyst

Field Reimbursement Manager

Rare Reimbursement Executive, Southwest

Field Reimbursement Manager - Neurology (Mountain West)

Field Reimbursement Manager

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DoD Statement

Benefits

Equal Employment Opportunity

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