Reimbursement Analyst II

2 months ago

Austin, Texas, United States Texas Department of Aging & Disability Services Full time
Job Summary:

The Texas Department of Aging & Disability Services seeks a highly skilled Reimbursement Analyst II to join our team in the Provider Finance Department. As a key member of our team, you will be responsible for performing advanced consultative services and collecting intergovernmental transfers and administering payments for supplemental or directed payment programs.

Key Responsibilities:
  • Plan, review, develop, and implement payment processes, including coordinating with other teams within PFD and external stakeholders.
  • Reconcile data, design instructions/processes and procedures as needed, and conduct complex data analysis to ensure accurate collection of local funding and issuance of payments.
  • Provide technical assistance to individuals both internal and external to the agency.
  • Develop, modify, and maintain complex spreadsheets using large databases to perform payment analysis.
  • Participate in the development of policy guidelines, agency rules, state plan amendments, and other associated documents relating to payments.
  • Review policies and procedures for job duties and update documents as necessary to conform to best practices.
  • Train Reimbursement Analyst I on job duties and completion of peer reviews.
Requirements:
  • Knowledge of health and human service programs, services, and procedures.
  • Knowledge of accounting, business, and management principles, practices, and procedures.
  • Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
  • Knowledge of reimbursement methods and payment fees, formulas, and procedures.
  • Skill in the review of cost reports and processing of payments.
  • Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
  • Ability to analyze laws, regulations, program policies, and issues.
  • Ability to develop, evaluate, implement, and interpret policies, procedures, and rules.
  • Ability to use personal computers and to use word processing, spreadsheet, statistical, and other software.
  • Ability to exercise independent judgement, set priorities, meet deadlines, and adapt to shifting technical and political developments.
  • Ability to manage projects effectively and produce quality work within short deadlines.
  • Ability to train staff on policies and procedures related to job functions.
  • Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.
Working Conditions:

The Reimbursement Analyst II position performs work for the Provider Finance Department under the supervision of the Manager of the Payments Team. The position works under minimal supervision and with considerable latitude for the use of initiative and independent judgment to ensure the proper operation of specific payment programs.

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