Bad Debt / DSH Team Lead
[To apply send your resume and salary requirements to: jobZZ829@healthcarepayment.com]
Company Description:
Healthcare Payment Specialists, LLC (HPS) is a BPO organization that uses proprietary data analytics to identify and obtain previously unreported reimbursement on behalf of a wide range of healthcare providers. Our expertise in Medicare, Medicaid, Tricare/CHAMPUS and other government related programs are used by us to recover reimbursement for small rural hospitals to nursing homes to major teaching medical centers and health systems. By integrating web enabled software, analytics, and technical research, HPS is able to produce timely and accurate reimbursement calculations for its clients. Government audits of HPS’ work have resulted in a success rate in excess of 98 percent. HPS operations are based in our state-of-the-art, secure and compliant technical center in the Dallas-Ft. Worth area of Texas.
General Position Summary:
Coordinates all activity required on Bad Debt and DSH projects released to the team for Quality Control assessment through issuance of Revised Notice of Program Reimbursement (including internal billing requirements).
Principal Accountabilities:
- Assigns and/or coordinates individual team member caseloads.
- Performs QC reviews and sample coordination when required by workload.
- Ensures team assignments are completed by designated due dates.
- Reviews all Audit Adjustment Reports received from FI / MAC to ensure consistency with expectations.
- Responsible for invoicing of projects upon receipt of appropriate documentation.
- Provides project status updates to clients as information is obtained and ensures that all client concerns are addressed.
- Ensures team adherence to internal procedures via completion of quarterly caseload reviews and implementation of training as necessary.
- Responsible for annual review on all team members.
Working Conditions and/or Physical Requirements:
- This position works in a typical office environment and light lifting is required.
Travel Requirements:
- Some required.
Education and Experience Preferred:
- 2 to 3 Years of College Required
- Bachelors Degree Preferred
- 5 to 7 Years of hospital billing / finance experience which included team and project management responsibilities
Knowledge and Skills Preferred:
- 40 to 50 WPM Typing Minimum
- Intermediate to Advanced skill level with Microsoft Office
- Basic skill level with Access
- Demonstrated professional written and verbal communication skills
- Familiar with operating a typical business phone system
- Ability to work independently, prioritize, analyze complex problems and provide solutions
FLSA Designation:
- Non-Exempt
[To apply send your resume and salary requirements to: jobZZ829@healthcarepayment.com]
Claims Customer Service Team Lead
[To apply send your resume and salary requirements to: jobK2V7R@healthcarepayment.com]
Company Description:
Healthcare Payment Specialists, LLC (HPS) is a BPO organization that uses proprietary data analytics to identify and obtain previously unreported reimbursement on behalf of a wide range of healthcare providers. Our expertise in Medicare, Medicaid, Tricare/CHAMPUS and other government related programs are used by us to recover reimbursement for small rural hospitals to nursing homes to major teaching medical centers and health systems. By integrating web enabled software, analytics, and technical research, HPS is able to produce timely and accurate reimbursement calculations for its clients. Government audits of HPS’ work have resulted in a success rate in excess of 98 percent. HPS operations are based in our state-of-the-art, secure and compliant technical center in the Dallas-Ft. Worth area of Texas.
General Position Summary:
Coordinates all activity required on IME/GME, TDRG and DSH Attestation projects released to the team for Quality Control assessment through confirmation of claim payment (including internal billing requirements).
Principal Accountabilities:
- Assigns and/or coordinates individual team member caseloads.
- Performs Quality Control (QC) reviews, claim adjustments and/or billing and follow-up when workload requires it.
- Ensures team assignments are completed by designated due dates.
- Responsible for invoicing of projects upon receipt of appropriate documentation.
- Responsible for resolution of invoicing issues returned by Accounts Receivable.
- Provides project status updates to clients as information is obtained and ensures all client concerns are addressed.
- Ensures the team’s adherence to internal procedures via completion of quarterly caseload reviews and implementation of training as necessary.
- Responsible for completing annual reviews on all team members.
Working Conditions and/or Physical Requirements:
- This position works in a typical office environment and light lifting is required.
Travel Requirements:
- Some Required
Education and Experience Preferred:
- Associate Degree Required
- Bachelors Degree Preferred
- 5 to 7 Years of hospital billing / customer service problem resolution experience which included team and project management responsibilities
Knowledge and Skills Preferred:
- 40 to 50 WPM Typing Minimum
- Intermediate to Advanced skill level with Microsoft Office
- Intermediate skill level with Medicare Billing Systems
- Basic skill level with Access
- Demonstrated professional written and verbal communication skills
- Familiar with operating a typical business phone system
- Ability to work independently, prioritize, analyze complex problems and provide solutions
FLSA Designation:
- Non-Exempt
[To apply send your resume and salary requirements to: jobK2V7R@healthcarepayment.com]
Data Acquisition Assistant
[To apply send your resume and salary requirements to: job74W9E@healthcarepayment.com]
Company Description:
Healthcare Payment Specialists, LLC (HPS) is a BPO organization that uses proprietary data analytics to identify and obtain previously unreported reimbursement on behalf of a wide range of healthcare providers. Our expertise in Medicare, Medicaid, Tricare/CHAMPUS and other government related programs are used by us to recover reimbursement for small rural hospitals to nursing homes to major teaching medical centers and health systems. By integrating web enabled software, analytics, and technical research, HPS is able to produce timely and accurate reimbursement calculations for its clients. Government audits of HPS’ work have resulted in a success rate in excess of 98 percent. HPS operations are based in our state-of-the-art, secure and compliant technical center in the Dallas-Ft. Worth area of Texas.
General Position Summary:
The Data Acquisition Assistant is responsible for handling the receipt and filing of all incoming data, coordinating signature of new contracts and setting them up for operations to take action. This position also assists with miscellaneous clerical type duties that support the Data Acquisition Group.
Principal Accountabilities:
- Receive and notify the appropriate internal contacts of data sets as they come in, by checking upload site, fax, email, mail, etc.
- Coordinates all new contracts signed by COO and/or CEO and set them up on the company’s internal workflow document.
- Assists in requesting and maintaining Direct Data Entry (DDE) Medicare online billing system logins.
- Coordinates all paperwork completed by Remote Access Users.
- Assists in maintaining mainly Excel reports and is responsible for general filing.
Working Conditions and/or Physical Requirements:
- This position works in a typical office environment and light lifting is required.
Travel Requirements:
- None Required
Education and Experience Preferred:
- 2 to 3 Years of College Required
- 5 to 7 Years of relevant experience working in Banking, Insurance and/or Healthcare Environments
Knowledge and Skills Preferred:
- 40 to 50 WPM Typing Minimum
- Intermediate to Advanced skill level with Microsoft Office, with an emphasis in Excel
- Demonstrated professional written and verbal communication skills
FLSA Designation:
- Non-Exempt
[To apply send your resume and salary requirements to: job74W9E@healthcarepayment.com]
Product Manager, Medicare Bad Debt (MCBD)
[To apply send your resume and salary requirements to: jobW115T@healthcarepayment.com]
Company Description:
Healthcare Payment Specialists, LLC (HPS) is a BPO organization that uses proprietary data analytics to identify and obtain previously unreported reimbursement on behalf of a wide range of healthcare providers. Our expertise in Medicare, Medicaid, Tricare/CHAMPUS and other government related programs are used by us to recover reimbursement for small rural hospitals to nursing homes to major teaching medical centers and health systems. By integrating web enabled software, analytics, and technical research, HPS is able to produce timely and accurate reimbursement calculations for its clients. Government audits of HPS’ work have resulted in a success rate in excess of 98 percent. HPS operations are based in our state-of-the-art, secure and compliant technical center in the Dallas-Ft. Worth area of Texas.
General Position Summary:
This position is responsible for establishing and attaining specific objectives defined by the strategy set by the HPS’ CEO and Board of Directors. This position will report on and be held accountable for the operational and financial performance of the Medicare Bad Debt (MCBD) product line of business.
Principal Accountabilities:
- Optimization of operational workloads and deadline prioritization.
- Participation in client relationship management.
- Identification and prioritization of development initiatives.
- Evaluation of the department for operational strengths, weaknesses, opportunities, threats and employee succession planning.
- Annual Assessment of revenue forecasting.
- Monthly tracking and reporting of financial results to Executive Staff.
- On-going capacity planning, budgeting and quality of earnings assessments that are reported to Executive Staff and Board of Directors.
- Responsible for maintaining working knowledge of regulatory requirements.
Working Conditions and/or Physical Requirements:
- This position works in a typical office environment, but is subject to stress due to the evolving and quickly expanding business needs, tight deadlines and heavy workloads.
Travel Requirements:
- Some travel required
Education and Experience Preferred:
- Bachelors Degree required in business, finance, accounting, healthcare administration or similar field.
- 7 to 10 Years of Healthcare industry experience, specifically with Medicare and Medicaid payer reimbursement and revenue cycles with a mid-sized to large organization.
- 2 to 3 years specifically working with Medicare Bad Debts.
- Business operations orientation with experience in streamlining operational workflow.
Knowledge and Skills Preferred:
- Microsoft Office / Advanced capabilities with a heavy emphasis in Access, Excel and documentation software (i.e.: VISIO).
- Demonstrated professional written and verbal communication skills.
- Ability to interact with IT to support production needs.
- In depth knowledge of Patient Accounting systems, how payers interact with hospitals and variances between electronic vs. manual posting.
- Experience utilizing various payment systems (Meditech, CPSI, McKesson and Siemens) including accessing of account data, capturing of data, data extraction and integration of external data back into billing systems.
FLSA Designation:
- Exempt
[To apply send your resume and salary requirements to: jobW115T@healthcarepayment.com]
Product Manager, Post Acute Care Billing Services
[To apply send your resume and salary requirements to: jobO3P36@healthcarepayment.com]
Company Description:
Healthcare Payment Specialists, LLC (HPS) is a BPO organization that uses proprietary data analytics to identify and obtain previously unreported reimbursement on behalf of a wide range of healthcare providers. Our expertise in Medicare, Medicaid, Tricare/CHAMPUS and other government related programs are used by us to recover reimbursement for small rural hospitals to nursing homes to major teaching medical centers and health systems. By integrating web enabled software, analytics, and technical research, HPS is able to produce timely and accurate reimbursement calculations for its clients. Government audits of HPS’ work have resulted in a success rate in excess of 98 percent. HPS operations are based in our state-of-the-art, secure and compliant technical center in the Dallas-Ft. Worth area of Texas.
General Position Summary:
This position is responsible for establishing and attaining specific objectives defined by the strategy set by the HPS’ CEO and Board of Directors. This position will report on and be held accountable for the operational and financial performance of the Transfer Diagnostic Related Group (DRG) service line of business for HPS.
Principal Accountabilities:
- Optimization of operational workloads and deadline prioritization.
- Participation in client relationship management.
- Identification and prioritization of development initiatives.
- Evaluation of the department for operational strengths, weaknesses, opportunities, threats and employee succession planning.
- Annual Assessment of revenue forecasting.
- Monthly tracking and reporting of financial results to Executive Staff.
- On-going capacity planning, budgeting and quality of earnings assessments that are reported to Executive Staff and Board of Directors.
- Responsible for maintaining working knowledge of regulatory requirements.
Working Conditions and/or Physical Requirements:
- This position works in a typical office environment, but is subject to stress due to the evolving and quickly expanding business needs, tight deadlines and heavy workloads.
Travel Requirements:
- Some travel required
Education and Experience Preferred:
- Bachelors Degree required in business, finance, accounting, healthcare administration or similar field.
- 7 to 10 Years of Healthcare industry experience, specifically with Medicare and Medicaid payer reimbursement and revenue cycles with a mid-sized to large organization.
- 2 to 3 years specifically working with Medicare Post Acute Care Transfer claim reviews.
- Business operations orientation with experience in streamlining operational workflow.
Knowledge and Skills Preferred:
- Microsoft Office / Advanced capabilities with a heavy emphasis in Access and Excel.
- Demonstrated professional written and verbal communication skills.
- Ability to interact with IT to support production needs.
- Ability to build and lead teams in a “Participatory” decision making environment.
- Comprehensive knowledge and experience working with Medicare Common Working File/Direct Data Entry system.
- Knowledge of coding and reimbursement terminology including DRG, ICD-9, HCPCS and discharge status codes.
FLSA Designation:
- Exempt
[To apply send your resume and salary requirements to: jobO3P36@healthcarepayment.com]
Senior Web Application Developer
[To apply send your resume and salary requirements to: jobQ48H9@healthcarepayment.com]
Company Description:
Healthcare Payment Specialists, LLC (HPS) is a BPO organization that uses proprietary data analytics to identify and obtain previously unreported reimbursement on behalf of a wide range of healthcare providers. Our expertise in Medicare, Medicaid, Tricare/CHAMPUS and other government related programs are used by us to recover reimbursement for small rural hospitals to nursing homes to major teaching medical centers and health systems. By integrating web enabled software, analytics, and technical research, HPS is able to produce timely and accurate reimbursement calculations for its clients. Government audits of HPS’ work have resulted in a success rate in excess of 98 percent. HPS operations are based in our state-of-the-art, secure and compliant technical center in the Dallas-Ft. Worth area of Texas.
General Position Summary:
This position is part of a team of Database Administrators & Programmers, .Net Application Developers and ColdFusion Application Developers. The Senior Web Application Developer is expected to be involved from inception to completion in the development of the company’s full-life cycle, database driven, web application(s) that begins with needs assessment and continues thru implementation, testing, training and support. This position is also responsible for improving the company’s existing, custom web application(s).
Principal Accountabilities:
- Database design and development.
- Web application design and development.
- Performs business process analysis and solution proposals.
- Develops implementation plans, complete with time-estimations.
- Conducts research and debugging.
- Responsible for quality assurance process.
- Creates and provides all related documentation.
- Provides all related training and support.
Working Conditions and/or Physical Requirements:
- This position works in a typical office environment and light lifting is required.
Travel Requirements:
- Minimal Travel Required
Education and Experience Preferred:
- Bachelors of Science required in Computer Science, Computer Information Systems, Computer Science Engineering, Web Development, Web Design or Computer Graphic Design.
- 5 (+) Years in database driven web application development
Knowledge and Skills Preferred:
- MS SQL Sever 2000, 20005 and 2008 – Database design & development
- ColdFusion 7, 8, 9 – Web application design & development
- Object Oriented Programming
- Cross-browser JavaScript, AJAX, HTML, DHTML & CSS
- MSRS, SSIS / DTS
- Presentation & Documentation
- Quality Assurance
- Process & Data Analysis
FLSA Designation:
- Exempt
[To apply send your resume and salary requirements to: jobQ48H9@healthcarepayment.com]

