Protecting and Enhancing Revenue for Hospitals

Current Openings

Full-Time – Account Manager – Frisco, TX

We are currently seeking an Account Manager to work in our Frisco, TX office.

Primary Responsibilities:

  • Diligently services existing accounts to maintain and grow the accounts.
  • Focuses sales efforts by studying existing and potential opportunities.
  • Provide quotes by referring to approved price book and product literature.
  • Strong communication skills to quickly identify customer needs.
  • Works to qualify leads, generate customer interest, promoting awareness and develop new leads; applies account development and market strategies.
  • Develops quotes, proposals or schedules presentations for customers for management approval; assists with presentation as required.
  • Serves as a contact for escalated customer needs, leverages internal and external resources to identify resolution and works to ensure implementation.
  • Develops deep understanding of company products, services and value propositions; provides assistance reviewing and implementing market strategies.
  • Monitors operations, identifies potential problems, and is proactive in resolution

Education and/or Experience

Bachelor’s degree preferred or equivalent work experience preferably in business, health or public administration, management, or a related field.

Demonstrated abilities and experience in the following areas:

  • Salesforce experience helpful
  • At least 3 years of experience in sales and customer service
  • Project Management Skills and ability to monitor and report on client engagement activities throughout the lifecycle of the engagement.

Comfortable with all forms of communication in both giving and receiving constructive feedback. Ability to adjust approach to business, as needed.

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

BESLER is an equal opportunity employer committed to full compliance with all applicable laws.

Full-Time – Reimbursement Consultant – Remote

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

Primary Responsibilities:

  • Actively contribute to work projects in the areas of: Cost Reporting, DSH and Wage Index.
  • 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.

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

BESLER is an equal opportunity employer committed to full compliance with all applicable laws.

Part-Time/Per Diem Claims Investigation Jr. Analyst – Princeton, NJ

We are currently seeking a Part-Time/Per Diem Claims Investigation Jr. Analyst to work in our Princeton, NJ office 20 hours a week – day shift.

Primary Responsibilities: 

  • Identify and determine assigned priorities and workload for daily operation utilizing B-Verified software (Resource Assignment & Workflow Management).
  • Conduct client reviews and analysis, per the engagement methodology, and within the designated time frame. (Includes FI, HHA Calls & Facility calls (as required))
  • Document in B-Verified software utilizing software guided investigation methodology. Adheres to established protocols and insures compliance standards by providing accurate information on all product line work.
  • Maintain appropriate internal control safeguards over (PHI) Protected Health Information, client records and collection of BESLER information.
  • Maintain compliance standards for providing accurate information on all product line work.
  • Communicate regularly and effectively with all superiors regarding the status and results of the business operations under control of the Manager.

Education & Experience:

Demonstrated abilities and experience in the following areas:

  • Minimal related business experience in the healthcare field useful.
  • Skills in using PC computers and related software essential to effective and efficient performance.
  • Strong, clear, and effective communication, organizational and prioritization skills.
  • Comfortable with all forms of communication in both giving and receiving constructive feedback.

This is a great opportunity for someone returning to the job market.

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

BESLER is an equal opportunity employer committed to full compliance with all applicable laws.

Full Time – Revenue Cycle Claims Investigation Analyst I – Princeton, NJ

We are currently seeking a Revenue Cycle Claims Investigation Analyst I to work in our Princeton, NJ office.

Primary Responsibilities: 

  • Identify and determine assigned priorities and workload for daily operation utilizing B-Verified software (Resource Assignment & Workflow Management).
  • Follow up on in-progress/pending claims to ensure the retrieval of claim status information are completed within established deadlines.
  • Identify and determine facility information for established Fiscal Intermediary Calls, Home Health Agency Calls & Follow-ups, Skilled Nursing Facility Calls, Acute Care Calls and Other Post-Acute Facility Calls. Perform actual calls, complete and send fax cover letter & spreadsheet to facilities and agencies. Follow up on needed information sent and received from facility.
  • Conduct client reviews and analysis, per the engagement methodology, and within the designated time frame. (Includes FI, HHA Calls & Facility calls (as required))
  • Collaborate with post-acute care facilities and agencies regarding claim status and information needed: resumption dates, Transfer dates, diagnosis codes, level of care and Medicare billing information.
  • Document in B-Verified software utilizing software guided investigation methodology. Adheres to established protocols and insures compliance standards by providing accurate information on all product line work.
  • Work and complete other assignments or special projects, as assigned. (Ie: FISS log, PAC information, special FI projects, developing job aids, coordinating group activities and education sessions)
  • Actively define gap areas, investigates, researches, analyze and recommends solutions for the product line team.
  • Attend and follow-up on meetings appropriately to research analysis and solve product issues.
  • Maintain appropriate internal control safeguards over (PHI) Protected Health Information, client records and collection of BESLER information.
  • Maintain compliance standards for providing accurate information on all product line work.
  • Respond appropriately to organizational and clients’ needs to ensure client satisfaction.
  • Communicate regularly and effectively with all superiors regarding the status and results of the business operations under control of the Manager.

Education & Experience:

Demonstrated abilities and experience in the following areas:

  • Some knowledge of medical/health care industry terminology is helpful; Exposure to Revenue Cycle a plus.
  • 1-2 years (clinical) and or related business experience in the healthcare field useful.
  • Demonstrated ability to problem-solving or detective style thinking in order to interface with BESLER staff and management, in order to effectively detect areas with potential problems and solutions.
  • Skills in using PC computers and related software essential to effective and efficient performance.
  • Strong clear and effective communication, organizational and prioritization skills.
  • Comfortable with all forms of communication in both giving and receiving constructive feedback.

Associates degree or equivalent work experience required. Bachelor’s degree preferred.

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

BESLER is an equal opportunity employer committed to full compliance with all applicable laws.

Full Time – Inpatient Coding Analyst – Frisco, TX/Remote

BESLER is currently seeking an Inpatient Coding Analyst to work remotely.

Primary Responsibilities:

  • Utilizing BESLER’s revenue integrity platform, review inpatient claims at all levels of complexity.
  • Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
  • Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution.
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
  • Supports and engages in education presentations (both face-to-face and remotely) associated with audit and review activities.
  • Maintains current knowledge of regulatory standards, which may impact utilization of processes and systems.
  • Seeks opportunities for individual growth and development, including attending various meetings, conferences, and courses, as required.
  • Responsible for meeting departmental productivity and quality expectations.
  • Consult with client organizations and their department heads at the direction of the service line director.
  • Collaborate with other service line team members to meet client demands and to develop strategies for service line growth and operational improvement.
  • Communicate consistently with all project team members and general BESLER colleagues regarding the status and results of service line business operations.
  • Contribute to publications, presentations and white papers on behalf of organization as requested.
  • Carry out all other ad hoc requests as determined by business needs.
  • Travel to client sites as may be required.

Experience:

Demonstrated abilities and experience in the following areas:

  • A minimum, 5+ years’ experience with inpatient coding/billing.
  • Demonstrates competency in use of computer applications including abstracting and encoding software.
  • DRG grouper software, MS office and hospital information systems.
  • Demonstrated knowledge in hospital/healthcare settings such as revenue cycle, clinical experience, charge description master, coding, reimbursement, health insurance practices, industry regulatory requirements, business office operations, technology, and industry standards for healthcare resolution management practices.
  • Knowledge of ICD-10 required, ICD-10 Trainer experience highly desired.
  • Excellent oral and written communication skills, including the ability to interact with high-level of management.
  • Detailed-oriented and able to meet targeted deadlines.

Education:

  • Bachelors of Science degree in a related field, Associates in Health Information Technology minimally acceptable
  • RHIA or RHIT preferred, CCS credential required

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

BESLER is an equal opportunity employer committed to full compliance with all applicable laws.