Facets / NetworX Reimbursement Specialist jobs in United States
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Aorzon Technologies Inc · 22 hours ago

Facets / NetworX Reimbursement Specialist

Aorzon Technologies Inc is seeking a Reimbursement Specialist with expertise in Facets and NetworX Pricer to enhance their pricing and reimbursement operations. The role involves interpreting provider contracts, validating pricing outcomes, and supporting various reimbursement models while collaborating with multiple teams.

Information Technology & Services

Responsibilities

Interpret Provider Contract documents (PDF/Word) and extract details for configuration in NetworX
Run day-to-day pricing/reimbursement activities using NetworX Pricer
Validate and troubleshoot pricing outcomes across product lines
Support reimbursement models: DRG, Fee Schedules, APC/MAPC/EAPG, RBRVS, and custom reimbursement rules
Partner with Provider Contracting, Claims Ops, Product, and Configuration teams
Support audits, investigations, production migrations, and release/testing cycles

Qualification

FacetsNetworX PricerProvider contract interpretationReimbursement operationsSQL

Required

Hands-on in Facets (reimbursement/pricing functions)
Strong NetworX Pricer (operations + validation + troubleshooting)
Provider contract interpretation (PDF/Word)
5–10 years reimbursement operations / claims pricing / provider payment operations
Commercial + Medicare pricing exposure

Preferred

SQL/analytical tools experience is a plus (NetworX backend troubleshooting)

Company

Aorzon Technologies Inc

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At Aorzon Technologies, we are dedicated to delivering top-tier IT consulting and staffing solutions that drive innovation and business success.

Funding

Current Stage
Early Stage
Company data provided by crunchbase