Supports operational decision-making through communication with Tulane University Medical Group
(TUMG) leadership, maintains payor relationships, and contributes to revenue optimization strategies. This person is responsible for
monitoring contractual allowances, analyzing and pursuing appeal opportunities with payors and networks and reporting appeals performance.
Serves as the liaison with payors and vendors to ensure timely and accurate uploads and data integrity, helping to support timely and
accurate reimbursement from payors. This role will support both recurring and ad hoc payor reimbursement analysis and assist in implementing
optimization strategies.
Responsibilities
- Clear and professional communication with team members,
providers, payers, and other stakeholders. - Energetic and motivated as a self-starter and the ability to work independently to help
identify trends that impact billing. - Understanding of managed care, government contracts, and reimbursement processes.
- Strong data analysis skills with the ability to compile and interpret complex data sets related to contract compliance and payment
trends. - Extensive knowledge of medical coding systems (ICD, CPT, HCPCS, etc.) and payor fee schedules.
- Ability to maintain
confidentiality in all work performed. - Excellent organizational and time management skills; ability to effectively manage multiple
tasks simultaneously and meet established deadlines. - Excellent skills using MS Word, Excel and
PowerPoint
Qualifications
REQUIRED QUALIFICATIONS:
About Us
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.
Job Info
- Job
Identification 835 - Job Category Health Service Operations
- Posting Date 05/14/2026, 09:27 AM
- Job Schedule
Full time - Job Shift Day
- Locations New Orleans, LA, United States
- Legal Employer Tulane University
- Business Unit Tulane University
- Department SOM TUMG Administration
- Grade 25
