Career Opportunities

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]