High School diploma or equivalent and four years progressively repsonsible experience in medical insurance, medical billing, or medical reimbursement. This position has been identified as security sensitive within the meaning of section 51.215, Texas Education code.
Employment is contingent upon successful background investigation.
Job Duties 1. Performs policy analysis for managed care issues by reviewing contracts, writing clause revisions, making recommendations for reimbursement policy changes, reviewing reports and financial data, and analyzing fee schedules, encounter forms, diagnosis and procedure codes. Ensures contracts reflect appropriate business decisions. Ensures projects related to reimbursement issues are completed on time and changes are implemented appropriately by conducting meetings, organizing activities, reviewing data analyses and reports and creating reimbursement policies and procedures. Documents findings by writing inquiry letters, constructing opinion letters, maintaining contract files and maintaining files for research documents.