Career Opportunities

.Net Application Developer [Apply]

Company Description: Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
The .Net Application Developer will serve as part of a team of varying experience levels of Database Administrator(s), Database Programmer(s), .Net Application Developer(s), and Coldfusion Application Developer(s). The .Net Application Developer is expected to be involved from inception to completion in the development of our full-life cycle applications from needs assessment to implementation to testing to training and support. The .Net Application Developer will also perform improvement and solve problems in our existing custom software.

Job Expectation:

• 40% ASP.NET Web Application programming or support
• 30% MS SQL Server Stored Procedures / Functions programming to support front-end applications
• 10% C#.NET or VB.NET Desktop Application programming or support
• 10% Needs assessment, planning, documentation, and training
• 5% MS SQL Server Database Design and Development
• 5% Cross-train on Coldfusion to be able to support/maintain as needed

Education Requirements:
Bachelor's degree or foreign equivalent degree in one of the following or a closely related field

• Computer Science / Computer Information Systems / Computer Science Engineering
• Web Development / Web Design / Computer Graphic Design

Professional Experience Requirements:

• At least (4) years of web application development
• At least (4) years of development using ASP.Net
• At least (2) years of writing MS SQL Stored Procedures / Functions for application use
• At least (2) years of database design experience
• At least (2) years of development using C#.Net or VB.Net

All professional experience may be gained concurrently.

Desirable / Expected to learn:

• JavaScript
• AJAX
• Ad-hoc T-SQL query/report support
• MS SQL Server Reporting Services
• Coldfusion Web Application Development
• Object Oriented Programming
• MS SQL SSIS / DTS
• MS Office Access/Excel

All candidates for this position are expected to be self-learners, self-motivated, work well independently and as part of a team, and respond well to leadership and company needs to be successful.

All candidates must pass company's standard technical test appropriate for this position to qualify.

Claims Analyst I [Apply]

Company Description:
Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
Ensure additional reimbursement opportunities identified and submitted on behalf of our clients to Medicare fiscal intermediaries are as accurate as possible based upon the claims and billing information provided by our clients.

Job Expectation:

• 50% Analyze patient data to identify claims that were not billed correctly under Medicare Post-Acute Care Transfer regulations.
• 20% Complete necessary research utilizing the Medicare Common Working File
• 15% Assist external clients in the claim adjustment process and to educate them on the Medicare guidelines as necessary
• 10% Assist Team Lead and Manager on special projects as necessary
• 5% Research Medicare compliance and regulatory issues as necessary

Education Requirements:

• Bachelors Degree in business, accounting, finance, or related area of study preferred, will accept equivalent experience in related medical or financial field
• Equivalent experience in related medical or financial field would be an acceptable alternative to a Bachelor Degree

Professional Experience Required:

• At least (1) year experience in field of Medicare reimbursement working for a healthcare payment advisory or consulting firm, or hospital financial accounting or reimbursement
• At least (3) years experience professional communication both verbal and written
• Intermediate knowledge of all Microsoft Office applications with a heavy emphasis on MS Access and MS Excel
• Medicare Common Working File / Direct Data Entry research experience preferred

Benefits:

• Generous paid holiday and vacation schedule
• 100% company paid health and dental insurance (employee coverage)
• Life insurance
• 401K plan
• Casual work environment

Claims Analyst II [Apply]

Company Description:
Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
The Claims Analyst II will serve as a lead for a team of analysts that performs reviews of hospital claims data looking for recovery opportunities under Medicare Post Acute Care billing guidelines. The Senior Claims Analyst will also be heavily involved in client relations and making sure that all client needs are being met. The Senior Claims Analyst will also identify areas in the process that can be improved and streamlined. Additional areas of responsibility may include Medicare regulatory research and some light travel to conferences and workshops.

Job Expectation:

• 25% Assist Manager in oversight of all Medicare Post Acute Care billing reviews to ensure that projects are completed correctly and timely
• 25% Analyze patient data to identify claims that were not billed correctly under Medicare Post-Acute Care Transfer regulations
• 25% Train and educate claims analysts as necessary to ensure everyone has knowledge and tools to perform claim reviews
• 10% Communicate with clients regarding questions about the claims review
• 10% Assist external clients in the claim re-billing process and/or re-bill claims internally utilizing the Medicare Common Working File
• 5% Research Medicare billing guidelines as necessary to ensure that our process is complaint with current regulations

Education Requirements:

• Bachelors Degree in business, accounting, finance, or related area of study
• Four years of direct Medicare billing experience involving Post Acute Care Transfer reviews would be an acceptable alternative to a Bachelor Degree

Professional Experience Required:

• At least (3) years experience in field of Medicare reimbursement working for a healthcare payment advisory or consulting firm, or hospital Medicare billing
• At least (3) years experience professional communication both verbal and written
• 1 to 2 years experience working on Post-Acute Care Transfer reviews preferred
• Advanced knowledge of all Microsoft Office applications with a heavy emphasis on MS Access and MS Excel
• Medicare Common Working File / Direct Data Entry research experience required

Benefits:

• Generous paid holiday and vacation schedule
• 100% company paid health and dental insurance (employee coverage)
• Life insurance
• 401K plan
• Casual work environment

Coldfusion Application Developer [Apply]

Company Description:
Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
The Coldfusion Application Developer will serve as part of a team of varying experience levels of Database Administrator(s), Database Programmer(s), .Net Application Developer(s), and Coldfusion Application Developer(s). The Coldfusion Application Developer is expected to be involved from inception to completion in the development of our full-life cycle applications from needs assessment to implementation to testing to training and support. The Coldfusion Application Developer will also perform improvement and solve problems in our existing custom software.

Job Expectation:

• 50% Coldfusion Web Application programming or support
• 30% MS SQL Server Stored Procedures / Functions programming to support front-end applications
• 10% Needs assessment, planning, documentation, and training
• 5% MS SQL Server Database Design and Development
• 5% Cross-train on ASP.Net to be able to support/maintain as needed

Education Requirements:
Bachelor's degree or foreign equivalent degree in one of the following or a closely related field

• Computer Science / Computer Information Systems / Computer Science Engineering
• Web Development / Web Design / Computer Graphic Design

Professional Experience Requirements:

• At least (4) years of web application development
• At least (4) years of development using Coldfusion 7, 8, or 9
• At least (2) years of writing MS SQL Stored Procedures / Functions for application use
• At least (2) years of database design experience

All professional experience may be gained concurrently.

Desirable / Expected to learn:

• JavaScript
• AJAX
• Ad-hoc T-SQL query/report support
• MS SQL Server Reporting Services
• ASP.Net Application Development
• Object Oriented Programming
• MS SQL SSIS / DTS
• MS Office Access/Excel

All candidates for this position are expected to be self-learners, self-motivated, work well independently and as part of a team, and respond well to leadership and company needs to be successful.

All candidates must pass company's standard technical test appropriate for this position to qualify.

Data Acquisition Assistant [Apply]

Company Description:
Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
HPS is immediately seeking to fill the position of Data Acquisition Assistant. This position is responsible for preparing data request paperwork, calling and/or emailing clients to gather and track requested data, and other projects as assigned.

Seeking applicants with the following attributes:

• Significant experience with Microsoft Excel and MS Word
• Ability to work independently
• Strong work ethic, initiative, positive attitude, and a desire to work in a challenging position
• Excellent written and verbal communication skills
• Experience with Customer Service and excellent customer server skills
• Detail oriented, highly organized, and able to work under deadlines
• Knowledge of Medical Terminology a plus

Please ensure that your cover letter or resume include the following information, or we will be unable to consider your application:

• Your current employment status, or most recent employment
• Your salary history or expectations

Compensation includes BCBS PPO Health Plan paid 100% by HPS, dental, 13 paid holidays, 2 weeks vacation one week sick leave. Salary is commensurate with experience. Position is immediately available

Data Integration Analyst [Apply]

Company Description:
Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
The Data Integration Analyst will serve as part of a team of varying experience levels of data analysts responsible for validating incoming data for format and accuracy. The Data Integration Analyst must be a detail oriented quick study who follows directions and asks questions when unsure.

Professional Experience Requirements:

• At least (4) years of Excel
• At least (2) years of Access
• At least (2) years of merging data from many files, worksheets, into larger files
• At least (2) years of summary reporting using tools such as Access or Excel

All professional experience may be gained concurrently.

Desirable / Expected to learn:

• SQL Server Import/Export Tool Usage
• Strong attention to detail
• Understand complex business rules to validate data
• Understand complex business rules to process data using custom applications

All candidates for this position are expected to be self-learners, self-motivated, work well independently and as part of a team, and respond well to leadership and company needs to be successful.

All candidates must pass company's standard technical test appropriate for this position to qualify.

EDI Claims Analyst [Apply]

Company Description:
Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
The EDI Claims Analyst will assist the Information Services, Product Development, and Data Integration teams in processing, mapping, analyzing, and troubleshooting healthcare or patient electronic data interchange (EDI) transactions. The EDI Claims Analyst will also be involved in the new product development cycle as well as looking for way to use EDI technology to enhance current product and service lines. Additional areas of responsibility will include Medicare and Medicaid regulatory research.

Job Expectation:

• 35% Work with product and software development teams to integrate EDI technology and exchange capabilities across all existing and new product and service lines
• 30% Process EDI transactions utilizing current internal software and database solutions to ensure that data is useable to meet project deadlines
• 15% Analyze current product and service lines to identify opportunities to enhance efficiency and accuracy
• 15% Assist Product Development team in setting up and maintaining all EDI submitter accounts with Medicare, Medicaid and various third party vendors
• 5% Research HIPAA, Medicare and Medicaid guidelines as necessary to ensure that our process is compliant with current regulations

Education Requirements:

• Bachelors Degree in Computer Science, Information Technology or Systems, Computer Engineering, Business, or related area of study from an accredited university
• Six (6) to eight (8) years direct experience involving EDI transactions for a hospital, healthcare consulting firm, healthcare billing firm, or healthcare software vendor would be considered in lieu of a degree from an accredited university

Professional Experience Required:

• At least three (3) years experience working directly with EDI transactions working for a hospital, healthcare consulting firm, healthcare billing firm, or healthcare software vendor
• Experience working with the following X12 EDI transactions: 270/271, 837/835, and 276/277 sets.
• At least three (3) years experience professional communication both verbal and written
• Advanced to Expert knowledge of database and reporting applications including: SQL Server, MS Access and MS Excel
• Medicare Common Working File/Direct Data Entry research experience preferred

Benefits:

• Generous paid holiday and vacation schedule
• 100% company paid health and dental insurance (employee coverage)
• Life insurance
• 401K plan
• Casual work environment

Financial Analyst I [Apply]

Company Description:
Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
This is an excellent entry-level opportunity to join a rapidly growing company focused on the stable yet expanding healthcare industry. The position will be responsible for reviewing hospital financial documents for compliance and additional reimbursement opportunities and performing special research projects as assigned.

Job Expectation:

• 25% Analyze hospital data to qualify them for additional reimbursements per regulations and quantify the opportunity
• 15% Assist external clients in the adjudication process and to educate them on the Medicare/Medicaid guidelines as necessary
• 50% Assist Team Lead and Manager on special projects as necessary
• 10% Research Medicare and Medicaid compliance and regulatory issues as necessary

Education Requirements:

• Bachelors Degree in business, accounting, finance, or related area of study preferred or equivalent experience in the medical accounting/financial field

Professional Experience Requirements:

• At least (1) year experience in field of Medicare and/or Medicaid reimbursement working for a healthcare payment advisory or consulting firm, or hospital financial accounting or reimbursement department
• At least (3) years experience professional communication both verbal and written
• Intermediate knowledge of all Microsoft Office applications with a heavy emphasis on MS Access and MS Excel
• Healthcare accounting experience a plus

Benefits:

• Generous paid holiday and vacation schedule
• 100% company paid health and dental insurance (employee coverage)
• Life insurance
• 401K plan
• Casual work environment

Reimbursement Analyst [Apply]

Company Description:
Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
HPS is seeking a Reimbursement Analyst to join its Medicare disproportionate share (DSH) team. This is an excellent entry-level opportunity to join a rapidly growing company focused on the stable yet expanding healthcare industry. The position will be responsible for reviewing all components of client DSH calculations for compliance and additional reimbursement opportunity.

Professional Experience Required:

• 1 to 3 years experience in accounting or finance setting
• Intermediate Access and Excel proficiency
• Prior healthcare finance experience in a hospital or consulting setting, a plus

Attributes Desired:

• Organized
• Self-motivated, driven to succeed
• Team player
• Focused on continuous improvement

Education:
Preference will be given to candidates with a 4 year degree in Accounting, Finance, or Economics

Benefits:

• Generous paid holiday and vacation schedule
• 100% company paid health and dental insurance (employee coverage)
• Life insurance
• 401K plan
• Casual work environment

Reimbursement Analyst II [Apply]

Company Description:
Healthcare Payment Specialists, LLC ("HPS") is a leading healthcare financial consulting firm working with Government and Private Party Payers. HPS has more than 1,900 hospital clients and is growing rapidly. HPS has offices in Orange CA and Fort Worth, TX, this position is located in the HPS Operational Office located in Fort Worth.

Job Description:
HPS is seeking a Reimbursement Analyst II to join its Medicare disproportionate share (DSH) team. This is an excellent opportunity to join a rapidly growing company focused on the stable yet expanding healthcare industry. The position will be responsible for reviewing all components of client DSH calculations for compliance and additional reimbursement opportunity. The Reimbursement Analyst II will guide DSH audits through all phases of the project life cycle and will serve as a resource to other reimbursement analysts on the team.

Professional Experience Required:

• 3 to 5 years experience preparing Medicare DSH calculations
• 3 to 5 years experience preparing Medicare cost reports
• 3 to 5 years experience analyzing state Medicaid eligibility data
• Intermediate Access and Excel proficiency
• Knowledge of Medicare audit and appeals processes and procedures
• Knowledge of CMS DSH regulations and guidelines
• Team leadership experience in a professional environment

Attributes Desired:

• Organized
• Self-motivated, driven to succeed
• Team player
• Focused on continuous improvement

Education:
Preference will be given to candidates with a 4 year degree in Accounting, Finance, or Economics

Benefits:

• Generous paid holiday and vacation schedule
• 100% company paid health and dental insurance (employee coverage)
• Life insurance
• 401K plan
• Casual work environment