Protecting and Enhancing Revenue for Hospitals

Healthcare Revenue Cycle Management

Current Openings

 

Full time- Reimbursement Director – Remote

BESLER is a nationally recognized financial and operational firm. We are an established market leader with over 30 years’ experience in healthcare financial management. We offer the best combination of healthcare financial expertise and stable employment opportunities. We have enjoyed remarkable growth within the industry and continue to strengthen our leadership position.

We are currently seeking a Reimbursement Director. This position can work remote.

*****Please submit a resume when you apply.*****

Responsibilities:

  • Assist in the continued development and refinement of BESLER proprietary technology for reimbursement platform
  • Develop requirements for cost report, organ acquisition, DSH, S-10, bad debt, wage index, bed management, etc.
  • Work with, and report to, the VP of Product Management to develop product roadmap / service strategy documents
  • In coordination with human resources, hire, train and develop the diverse staff required to effectively provide reimbursement services
  • Responsible for ensuring that the BESLER Core Values (Teamwork, Excellence Accountability, and Integrity) are inherent in all aspects of daily operation
  • Continuing Compliance Education Plan – Complete all on-line modules within the prescribed timeframe.
  • Other duties as assigned

EDUCATION & EXPERIENCE

Bachelor’s degree required, preferably in business, finance, health or public administration, management, or a related field.

  • Solid knowledge of all facets of healthcare reimbursement and financial operations experience.  Including cost report, organ acquisition, DSH, S-10, bad debt, wage index, bed management, etc.
  • Detailed understanding of one or more hospital information systems (Epic, Cerner, Meditech etc.)
  • Working knowledge of reimbursement management tools
  • Acute HIPAA-related security and privacy awareness
  • Proven understanding of and focus on compliance issues
  • RAC and other audits
  • Solid understanding of one or more Medicare Administrative Contractors’ (MAC) policies, processes and procedures
  • General office productivity software
  • Bachelor’s degree or higher
  • At least 6 to 8 years of experience in hospital reimbursement 
  • Previous experience at the manager level in hospital reimbursement (at a provider or vendor)
  • Previous experience in the development of software to reimbursement efforts
  • Previous healthcare reimbursement and financial operations experience 
  • Previous vendor / consulting firm / service provider experience
  • Experience managing a team
  • Experience managing remote employees

BESLER is a great place to work! We offer a competitive salary and comprehensive benefits.

Benefits include:

  • Medical/ Dental/ Prescription/ Vision – Start on Date of Hire
  • Paid Time Off
  • 401 (k) Retirement Plan
  • Company Paid Life Insurance
  • Medical and Dependent Care FSA
  • Tuition Reimbursement
  • Flexible Work Schedule

BESLER is an equal opportunity employer. We recruit, employ, compensate, promote and train without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, veteran status, age, FMLA status or any other basis protected by law.

For more information about the company, please visit www.besler.com.

Full time- Reimbursement Consultant – Remote

BESLER is a nationally recognized financial and operational firm. We are an established market leader with over 30 years’ experience in healthcare financial management. We offer the best combination of healthcare financial expertise and stable employment opportunities. We have enjoyed remarkable growth within the industry and continue to strengthen our leadership position.

We are currently seeking a Reimbursement Consultant. This position can work remote.

*****Please submit a resume when you apply.*****

Responsibilities:

  • Actively contribute to work projects in the areas of: Cost Reporting, DSH, Wage Index, Bad Debts, WS S-10, IME/GME, and Organ Acquisition.
  • Act in the role of Consultant for the product line activities, embodying the Core Values of the firm with equal responsibility and accountability to product line staff.
  • Must actively define need or problem, conduct research and analysis of data, in order to recommend solutions for clients.  Conclusions should be objective, logical and based on facts that have been collected and verified.
  • Maintain accurate and current activity reporting. Enter hours and expenses where applicable by project as soon as possible.  Enter clear and concise description of activities in time keeping system as appropriate.
  • Conduct client engagements, per the engagement methodology, and within the designated time period.  Inform Manager or Senior Manager of any potential delays that would impact the ability to complete assigned tasks within the allotted time.
  • Develop and maintain client relationships that continue to produce revenues for the firm over time.  Keep open lines of communication with active clients and keep clients abreast of new issues as they develop.
  • Assist in the development of specific recommendations and conclusions for the client. Conclusions should be objective, logical, and based on facts that have been collated and verified.
  • Maintain appropriate internal control safeguards over client records and collection of BESLER information.
  • Maintain compliance standards for providing accurate information on all product line work, proposals, and client activity.

EDUCATION & EXPERIENCE

Bachelor’s degree required, preferably in business, finance, health or public administration, management, or a related field.

  • Working knowledge in the areas of hospital/healthcare settings such as cost reporting, IME/GME bad debt, wage index reviews, DSH and other areas as assigned to include health insurance practices, industry regulatory requirements and technology.
  • Demonstrated ability to problem-solving or detective style thinking in order to interface with BESLER staff, as well as with the client, in order to effectively detect areas with potential problems and ability to recommend solutions.
  • A minimum of 1-3 year’s healthcare or related business experience required along with strong organizational skills.
  • Skills in using mainframe and PC computers and related software essential to effective and efficient performance.
  • Knowledge of medical and general industry terminology

BESLER is a great place to work! We offer a competitive salary and comprehensive benefits.

Benefits include:

  • Medical/ Dental/ Prescription/ Vision – Start on Date of Hire
  • Paid Time Off
  • 401 (k) Retirement Plan
  • Company Paid Life Insurance
  • Medical and Dependent Care FSA
  • Tuition Reimbursement
  • Flexible Work Schedule

BESLER is an equal opportunity employer. We recruit, employ, compensate, promote and train without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, veteran status, age, FMLA status or any other basis protected by law.

For more information about the company, please visit www.besler.com.

Interested applicants should submit their credentials to employment@besler.com for consideration.

Full time- Clinical Analyst – Remote

We are currently seeking a Clinical Analyst. This position can work remote.

Primary RESPONSIBILITIES:

  • Clinical documentation understanding relating to patients discharge summary and needs post discharge.
  • Review Medicare eligibility for patient utilization post discharge.
  • Document findings in accordance with Service Line policy.
  • Initiate follow-up calls to post-acute providers to confirm information as needed.
  • Carries out other assignments or special projects as assigned.
  • Solid grasp on Medicare 3-day qualifying stay criteria.  Familiar with CWF, HHA, Hospice Utilization. 
  • Responsible for ensuring that the BESLER Core Values (Teamwork, Excellence Accountability, and Integrity) are inherent in all aspects of daily operation

EDUCATION and EXPERIENCE: 

Bachelor’s degree required 

Demonstrated abilities and experience in the following areas:

 

  • At least 3 years’ experience in an acute care or SNF setting, Case Management, Billing with direct Clinical responsibilities or Clinical documentation to include the CDI department. 
  • Has interpreted and utilized Medicare benefit information, including HHA and Hospice utilization. 
  • Financial aptitude 
  • Solid grasp on Medicare 3-day qualifying stay criteria.  Familiar with CWF, HHA, Hospice Utilization. 

Interested applicants should submit their credentials to employment@besler.com for consideration.

BESLER is an equal opportunity employer committed to full compliance