JOB BANK
*Recovery Audit Manager/Consultant
Besler Consulting has an exciting job opportunity for a Recovery Audit Manager/Consultant to support our Chargemaster/Coding Product Line. The ideal candidate will be responsible for coordinating staff from multiple provider departments at various staff levels to achieve project objectives to entail; reviewing records for documentation and coding accuracy. Our ideal candidate will have a BA/BS/BSN or equivalent experience in Health Information Management, Case Management or Nursing. Additionally, this position requires certifications of: CCS (preferred), RHIA, RHIT, CPC or CPC-H desired with a minimum of 5 years of hospital or provider experience in a supervisory or management position. Candidates must have a successful record of demonstrated RAC experience. Other skill requirements include: Project Management Skills, Microsoft Excel and Word, excellent written and oral communication abilities. Clinical experience a plus to include coding, auditing and inpatient experience and ability to use analytical thinking and problem-solving skills to perform as a member of a cross-functional team. Problem-solving and analytical thinking is very important to interface with Besler personnel as well as the client in order to detect areas with potential building of business revenue.
Interested candidates may forward their resumes along with salary requirements to employment@beslerconsulting.com.
*Medicare Consultant/Biller
Besler Consulting, a leading healthcare finance and operations consulting firm based in Princeton, NJ is seeking a dynamic and detail-oriented healthcare Consultant to complement it's Revenue Cycle team.
Our successful candidate must have a proven track record in abilities to perform the following job tasks/duties:
Review and utilize information supplied by assigned properties to accurately and timely perform Part A and/or Part B Medicare billing and adjustments in accordance with Medicare regulations to include PPS and Part B line item/HCPCS services through FISS/DDE. Audit and follow up on un-paid Medicare balances, using the electronic inquiry system to resolve problems in claim processing. Provide support to assigned properties as needed by answering general Medicare information and PPS questions. Prepare and post adjustments as related to the billing and payment of Medicare claims. Address and resolve Return to Provider claims and collect information to identify root causes of denials. Ensure the Medicare Claim Denial Notification forms are completed on all denied claims and distributed according to departmental policy. Monitor and record the status of the ADR as outlined in the departmental policy.
The ideal individual should have 7 to 10 years experience with billing and collections as well as revenue cycle consulting in the healthcare/hospital industry. A proven background in the healthcare/hospital industry and consulting services is preferred with a strong concentration in hospital revenue cycles. Along with a demonstrated ability to proactively bill and collect funds in a hospital/healthcare setting.
The qualified candidate must possess excellent organizational and analytical skills along with exceptional oral/written communication skills. Must know Medicare Billing. Must know how to audit and conduct follow-up on un-paid Medicare balances. Must have the ability to travel as required. A Bachelors degree in finance, accounting or business administration is required; An MBA is a plus along with previous experience in hospital/healthcare and ambulatory revenue cycle. Should also possess a CHFP (Certified Healthcare Financial Professional and /or CMPE (Certified Medical Practice Executive) certification.
Interested candidates may forward their resumes along with salary requirements to employment@beslerconsulting.com.
*Manager, Revenue Cycle
BESLER Consulting is a national consulting practice seeking qualified individuals for its Revenue Cycle Consulting Team. Professionals should have experience in the critical areas of a hospital’s Revenue Cycle Management, including: Patient Access, CDM, Charge Capture, Business Office Operations from an inpatient and outpatient perspective, Denial Management, Managed Care Contract Validation and Customer Service. In addition, we seek individuals with knowledge and understanding of Medicare and Medicaid reimbursement methodology.
For this position, we are searching for individuals with at least 5 years of Revenue Cycle Management experience with an advanced degree. Prior consulting experience is a plus but not required for the right candidate.
Candidates must have strong management skills, critical thinking skills, and ability to interact with both internal/external clients and project engagement staff. Responsibilities will include hands on engagement management, product development, client services, staff development, report preparation and practice development, market expansion initiatives, preparation of project findings and reports and industry research.
All candidates must possess strong oral and written communication skills, knowledge of most Microsoft Applications like Word, Excel, Visio and Access as well as the major accounts receivable and business office systems. Travel is expected for this position. Interested candidates may forward their resumes along with salary requirements to
employment@beslerconsulting.com
*Senior Manager, Financial Services (New York Region)
Our ideal candidate must possess an in-depth knowledge of the federal and state reimbursement regulations, specifically Medicare and NY Medicaid. The incumbent must also have substantial experience in project management as they will be responsible for managing a variety of consulting projects on a day to day basis which are focused on various aspects of a hospital’s reimbursement. Additionally, must be able to identify and provide a wide range of financial services to hospital/healthcare clients that include cost report preparation and review, New York Medicaid rate reviews and appeals, financial impact modeling, strategic analysis, and regulatory analysis.
The ideal individual should have 7 to 10 years experience in hospital reimbursement as well as financial services consulting in the healthcare/hospital industry. A proven background in the healthcare/hospital industry and consulting services is preferred with a strong concentration federal and NY state reimbursement.
The qualified candidate must possess excellent organizational and analytical skills along with exceptional oral/written communication skills. Must have the ability to travel as required. A Bachelors degree in finance, accounting or business administration is required; an MBA is a plus along with previous experience in hospital/healthcare financial services.
This position will report virtually into our Princeton, NJ location. Candidate must reside in NY, or Northern NY area to allow for ample access to our clients. Interested candidates may forward their resumes along with salary requirements to employment@beslerconsulting.com.
*Strategic Financial Planner, Financial Services
Our ideal candidate must possess superior financial and analytical skills along with a working knowledge of hospital operations. The incumbent must also have substantial experience in project management, as they will be responsible for managing a variety of consulting projects and or clients on a day-to-day basis, which are focused on various aspects of a hospital's financial/operational process. Additionally, candidate will provide ongoing support to the Financial Services Product Line Director in the areas of financial projections including financial statement, revenue and expense, and cash flow projections. Client engagements will include developing analyses to support decision making and strategic planning of new facilities, building projects and programmatic changes. Assisting clients in strategic decision-making and or identification of financial/operational implications of strategic decisions.
Candidate will develop and review complex financial feasibility/projections/forecasts for new and expanding services and programs. The ideal individual should have 7 to 10 years experience in Finance. Understanding of hospital services specific to Reimbursement a plus. The qualified candidate must possess excellent organizational and analytical skills along with exceptional oral/written communication skills. Must have the ability to work in a virtual home office environment. Travel is minimal. A Bachelors degree in finance, accounting or business administration is required; CPA required, an MBA is a plus along with previous experience in hospital/healthcare financial services. Interested candidates may forward their resumes along with salary requirements to employment@beslerconsulting.com.
*Manager, Accreditation and Clinical Services (New York Region)
Besler Consulting has an exciting job opportunity for a skilled Manager to support our Accreditation and Clinical Services Product Line. The ideal candidate will be responsible for implementing a strategic plan, in conjunction with the Division Manager that produces financial results by effectively managing client projects for consulting services that focus on specific product lines and that utilize a cross-department structure.
The candidate will work very closely with senior management and support their efforts to expand our presence in the Healthcare marketplace. This position will play an integral part in establishing and maintaining overall client relationships and executing against the divisions strategic plan.
Must have working knowledge in the areas of hospital/healthcare settings such as revenue cycle JCAHO, charge master, coding, reimbursement, licensure and accreditation requirements, health insurance practices, industry regulatory requirements, business office operations, technology, and industry standards for healthcare resolution management practices. Build effective working relationships at the highest level in client organizations. Maintain accurate and current activity reporting. Proposal process management from lead to close. Develop client relationships that continue to produce revenues for the firm. Schedule, attend, manage and follow up on meetings appropriately to solve customer issues. Maintain strategic implementing plan for each engagement/client under management. Collaborate with assigned staff on projects
A minimum, of 5+ year’s management experience in the healthcare field required along with strong organizational skills. Joint Commission accreditation and state licensure experience and responsibility required. In-depth knowledge of hospitals and healthcare industry specializing in the areas such as charge master, coding, JCAHO, physician billing and reimbursement. Preoperative Operating Room experience a must. Ambulatory Surgical Center experience preferred. Excellent written and oral (presentation) communication skills are a must. Along with the ability to design, create and edit presentations, proposals and related documentation, internal and external communication. Demonstrated problem solving as a member of a cross-functional team. Problem-solving or detective style thinking is very important to interface with Besler personnel as well as the client in order to detect areas with potential building of business revenue. Skills in using PC computers. Knowledge of Medical Terminology. The ability to travel is required. Travel is approximately 70%
RN, Bachelor’s degree required, preferably in business, health or public administration, management, or a related field.
Executing a strategic implementation plan that delivers client results. Mediate and resolve conflicts regarding project for clients. 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. Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and Besler standards. Assess and respond to organizational and customers’ needs with innovative programs to ensure customer satisfaction. Implement client friendly guidelines. Oversee the integrity of client proposals and consulting staff interfaces, while facilitating the development of strategic outcome. Communicating regularly and effectively with subordinates and superiors regarding the status and condition of the business operations under control of the senior manager. Carries out other assignments or special projects as assigned. Interested candidates may forward their resumes along with salary requirements to employment@beslerconsulting.com.