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Business Operations and Reimbursement Manager at Tulane University
New Orleans, Louisiana, United States -
Full Time

Start Date

Immediate

Expiry Date

11 Aug, 26

Salary

0.0

Posted On

13 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Revenue Cycle Management, Medical Coding, Payer Reimbursement Analysis, Variance Analysis, Strategic Pricing, Contract Compliance, Data Visualization, Power BI, Excel, Charge Description Master (CDM), Medical Billing, Payer Fee Schedules

Industry

Description
Responsible for maintaining TUMG Master Fee Schedule, tracks payer fee schedule updates and coordinates with vendors to ensure timely and accurate uploads and performing in-depth payer reimbursement and variance analysis, supporting payer negotiations, and advising on strategic pricing decisions. This role ensures contract compliance, coordinates with A/R team to resolve over/underpayments, and supports efforts to optimize revenue cycle operations and reimbursement accuracy through collaboration with internal teams, payor relations, and third-party vendors.  Tulane University is an equal opportunity educator and employer committed to providing an education and employment environment free of unlawful discrimination, harassment, and retaliation. Legally protected demographic classifications (such as a person’s race, color, religion, age, sex, national origin, shared ancestry, disability, genetics, veteran status, or any other characteristic protected by federal, state, or local laws) are not relied upon as an eligibility, selection or participation criteria for Tulane’s employment or educational programs or activities. Tulane University is responsible for providing reasonable accommodations to individuals with disabilities throughout the applicant screening process. If you need assistance in completing an application or during any phase of the interview process, please contact the Office of Human Resources by phone at 504-865-4748 or by email at hr@tulane.edu [hr@tulane.edu].
Responsibilities
The role is responsible for maintaining the Master Fee Schedule and performing in-depth payer reimbursement and variance analysis. It involves coordinating with vendors for accurate uploads and collaborating with internal teams to optimize revenue cycle operations.