Job Summary

A healthcare company is filling a position for a Remote Reimbursement Policy Manager in Dallas.

Candidates will be responsible for the following:

• Conducting claims systems utilization, capacity analysis / planning and reporting
• Implementing claim payment processes
• Ensuring data integrity, data security and process optimization

Qualifications Include:

• Experience with physician and / or facility reimbursement policy and coding methodologies (CPT, HCPCS, ICD - 10)
• 2+ years of experience working independently in a remote environment
• 4+ years of experience with clinical editing tools (e.g. iCES or CES) in support of facility or physician reimbursement
• Experience in one or more of the following platforms / applications - UNET/TOPS, FACETS, ppoONE, COSMOS, NICE or CIRRUS
• Associate's Degree (or higher) OR High School Diploma / GED (or higher) with 4+ years health plan experience
• Experience in Microsoft Office