Protecting and Enhancing Revenue for Hospitals

Current Openings

Full time- Reimbursement Consultant NJ/NY/PA – Remote

We are currently seeking a Reimbursement Consultant – NJ/NY/PA with specific project work experience in NJ, PA, and NY. This position can work remote.

Primary RESPONSIBILITLES:  

  • Actively contribute to work projects in the areas of: Cost Reporting, DSH and Wage Index.
    • State specific work projects include: NJ DSH survey, NJ Shares Report, PA MA-336 Report, NY ICR Report, NJ DSH Processing including the “Judge Run” Report.
  • Must actively define need or problem, conduct research and analysis of data, in order to recommend solutions for clients.
  • Conduct client engagements, per the engagement methodology, and within the designated time period.
  • Exhibit the critical problem-solving skills needed to include:
    • The ability to break down a significant problem into its root causes and then design solutions to address each of the root causes.
    • Ability to analyze complex provider issues and identify the appropriate regulatory impact.
  • 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.
  • Ability to manage multiple projects simultaneously to ensure that deadlines are met and product quality are maintained.

EDUCATION and EXPERIENCE:

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

Demonstrated abilities and experience in the following areas:

  • Experience working with the following state specific criterion:
    • New Jersey DSH survey
    • New Jersey Shares Report
    • Pennsylvania MA-336 Report
    • New York ICR Report
    • New Jersey DSH Processing including the “Judge Run” Report
  • Individual is required to have excellent written skills as well as clear and effective communication skills.  The individual may be required to utilize these skills to facilitate or assist in presentations on behalf of the Reimbursement Team.
  • 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 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.
  • Project Management Skills, ability to monitor and report on client engagement activities throughout the lifecycle of the engagement.

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 – Manager, Reimbursement – Remote

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

Primary RESPONSIBILITIES:

  • Must be able to demonstrate an understanding of the following Reimbursement activities and actively contribute to work projects in the areas of: Regulatory Research, Cost Reporting, DSH, Bad Debts, WS S-10, IME/GME, Organ Acquisition, Wage Index.
  • Actively manage the client engagement/project on a day to day basis working closely with Sr. Manager and Client to resolve issues
  • Develop superior client relationships that continue to produce revenues for the firm over time.
  • Execute and maintain strategic implementation plan for each engagement/client under management. Conduct review meetings at the end of an engagement to summarize findings, provide final documents and answer questions.
  • Assist in the development of public facing marketing materials
  • Assist in developing strategic partnerships where appropriate that add value to and/or facilitate the delivery of the consulting services offered.
  • Ensure clients are adequately serviced base on the scope of the project
  • Lead/Assist team in product line client work. Performs role of teammate, provides input and guidance to assigned staff during client engagement.
  • 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. Assists in the development of proposals working in conjunction with Sales and Legal to ensure that proposals include updated language and properly describes the scope of the project.  Work with Sr. Manager and Sales to follow-up on open proposals.
  • Assess and respond to organizational and customers’ needs with innovative programs to ensure customer satisfaction. Implement client friendly guidelines.
  • Manage client engagement and relationship in all aspects. Bring the engagement to completion on time and within the scope of the engagement terms and conditions.
  • Research and assist in the development of new product offerings.
  • Conduct public speaking engagements, article writing and educational webinars
  • Identify, analyze and effectively address and resolve data challenges that impact operations or financial processes with the client, regardless of whether the problem originates in an area under direct or indirect control
  • Exhibit the critical problem-solving skills needed to include:
    • The ability to break down a significant problem into its root causes and then design solutions to address each of the root causes.
    • Ability to analyze complex provider issues and identify the appropriate regulatory impact.
  • Learn state specific reporting requirements (Medicaid, DSH, Provider Tax, etc.)

EDUCATION & EXPERIENCE

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

  • Working knowledge in all areas of hospital/healthcare finance such as revenue cycle to include: DSH, Wage Index and Cost Reporting.
  • Ability to identify, analyze and effectively address problems that impact operations or financial processes regardless of whether the problem originates in an area under direct or indirect control.
  • In-depth knowledge of hospitals, other healthcare providers and healthcare industry in general.
  • Knowledge of healthcare industry statistical indicators and the ability to analyze data related to operations.
  • Demonstrated leadership skills to motivate co-workers and cross-product line teams’ performance towards excellence and develop team concepts as well as consensus-building management styles along with the ability to make a significant contribution to product line‘s overall effectiveness.
  • A minimum, of 3 year’s business experience in the healthcare (s/b specific to Reimbursement) field required along with strong organizational skills.
  • A minimum, of 1-3 years management experience required.
  • Skills in using mainframe and PC computers and related software essential to effective and efficient performance. (Cost Reporting Software is essential)
  • Knowledge of medical and general industry terminology. Working knowledge of Medicare and Medicaid Cost Reporting, Appeals, PRRB, MACs, Provider Audits.
  • Clear and effective communication skills.

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 – Account Manager – Remote

We are currently seeking an Account Manager. This position can work remote. The ideal candidate will be located near a major airport.

Primary RESPONSIBILITIES:

  • Responsible for managing existing accounts in an assigned portfolio of business with focus on retention and growth
  • Report directly to the Vice President of Sales and Client Relations and are part of BESLER’s Client Engagement team responsible for overall revenue attainment and customer satisfaction
  • Must demonstrate examples of how business and relationships with an assigned account base are maintained and grown
  • Enthusiastically advocate BESLER’s services, and clearly articulate customer value through refined written and verbal communication
  • Responsible for routine cadence of communication and managing customer escalations to resolution
  • Strive to build long-term relationships with customers that lead to expanded business opportunities and growth within existing accounts by diversifying the array of services customers ultimately purchase
  • Actively network at various levels within accounts to identify champions, influencers, and potential detractors, ensuring that all constituents have been addressed to ensure client retention and growth
  • Work closely with other members of the Client Engagement team (sales, marketing, inside sales), service lines, and other functional areas in the pursuit and management of accounts
  • Responsible for interacting throughout the life cycle of accounts from developing proposals to delivering results, ensuring satisfaction, and preventing competitive encroachment
  • Adhere to BESLER’s sales methodologies and utilize sales management tools as appropriate
  • Assist in collecting customer references, testimonials, success stories and surveys
  • Attain Certified Revenue Cycle Representative (CRCR) certificate within 120 days of hire
  • Must be willing to travel up to 50% (Virtual meetings until COVID pandemic subsides)

EDUCATION and EXPERIENCE:

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

Master’s in hospital or business administration, accounting, finance, or related field, CPA or closely related clinical discipline preferred.

Demonstrated abilities and experience in the following areas:

  • Minimum of five (5) years of account management experience in a complex Business-To-Business setting
  • Must demonstrate excellent selling, negotiation, communication and problem-solving skills in a fast-paced business environment.
  • Must possess the ability to address complex financial, operational and regulatory requirements, competitive threats and the ability to manage a long sales cycle
  • Must demonstrate the ability to manage, retain and grow an assigned a portfolio of business
  • Should have experience creating compelling proposals and presenting tailored solutions
  • Preferred experience in managing accounts that include acute-care hospital systems in areas such as Revenue Cycle, Revenue Integrity, HIM, Medicare Reimbursement, and Compliance
  • To be successful, candidate should be a high-energy, performance-oriented individual

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.