Career Opportunities

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]