Careers
At HS1 Medical Management we believe that employees are our most valued assets. Attracting and retaining outstanding individuals is the key to our long-term success as leaders in the healthcare industry.
We would be pleased to discuss all of the benefits associated with employment at HS1 Medical Management with you. Feel free to contact an HS1 Human Resource Representative in the event that you have any comments or questions or if we may be of assistance in any other way.
Reasons to Join HS1
Your career is an important part of your life. You want to choose the right employer. There are many reasons to join the Health System One team.
We’re guided by core values
It makes a big difference in your work day when you know that management, your coworkers and you all have the same goals and values. We put the people who use our services at the center of everything we do.
We care about our employees
From competitive benefits to a positive work environment, we strive to help our employees succeed in and out of the office.
To submit your resume, please send it to:
HS1 Medical Management is an Equal Opportunity Employer.
Current Openings
Essential duties, include, but are not limited to: The Application Developer I will be primarily responsible for development of enterprise database applications and user interfaces. Additionally s/he will also be responsible with assisting the help desk troubleshooting and response for elevated issues. S/He will need to understand the existing data models as defined by the Database Administrator and Data Analysis Department. S/he will need to become familiar with the stated goals of the organization, incorporate these goals into all phases of the design and development process, and assist and support the design and management functions of the Database Administrator.
Qualifications: Must have a BS in Computer Science with two (2) or more years related experience and/or training. To perform this job successfully, an individual should have the knowledge and working experience of: VB 6.0, ASP.NET 1.1, Crystal Reports 10 or later, MS-SQL 2000, SQL Query Analyzer, SQL Enterprise Toolset, Relational databases, MS-Access, MS-Excel and Zetafax.
OTHER QUALIFICATIONS: The ability to work independently and as part of a team; Technical aptitude, with the ability to learn and apply new skills; Strong oral and written communications skills; Problem solving skills, uses logic and creative methods to develop effective solutions, thinks "outside the box"; Goal oriented and motivated to meet customer needs; Willingness to expand skills and responsibilities as needed. Hours include 40 hours a week Monday – Friday.
To submit your resume, please send it to:
Essential duties include, but are not limited to:
- Performing individual audits on the Claims staff to ensure claims accuracy.
- Reporting to staff and management on a weekly and monthly basis in regards to staffs performance accuracy.
- Conducts payment audits on Finalized EOB's.
- Provides continuing development of the claims audit program as the processes in the claims department change.
- Recognizes claims issues/problems and refers them to Management and/or appropriate party for further review and resolution.
- Works with the Claims Trainer to establish areas of deficiency and where additional training would be beneficial.
- Maintains production and quality standards established by the Claims Department Management.
- Assist Management and all staff in their daily work.
Qualifications:
- Must have a minimum of 5 years experience in a Medical Claims processing environment with increasing levels of difficulty on the claims processed.
- Applicant must have demonstrated knowledge of ICD-9, CPT-4, HCPCS coding and medical terminology.
- Strong knowledge of computerized medical claims processing and medical claims work flow processes.
- Applicant should have working knowledge of Microsoft Office products (excel, word)
- Applicant must have a High School Diploma or GED.
- This position is an Hourly position with 40 hours per week Monday – Friday, with some overtime as needed.
To submit your resume, please send it to:
Essential duties include, but are not limited to:
- Provide claims information through telephone inquiry to physicians and plan members.
- Recognize potential problems and refers them to the appropriate person to include Claims Management for resolution, and follow up to assure resolution.
- Maintains a broad knowledge of all systems used in the adjudication of claims.
- Maintains quality standards of claims calls handled.
- Maintain a log of calls for use in the reporting and tracking of calls handled.
- Liaison to other departments outside of the claims department.
Qualifications:
- Applicant must have strong interpersonal communication skills; excellent data entry skills.
- Must have a minimum of 5 years experience in a Medical Claims processing environment.
- Applicant must have demonstrated knowledge of ICD-9, CPT-4, HCPCS coding and medical terminology, and knowledge of computerized medical claims processing and of medical claims work flow processes.
- Applicant must have a High School Diploma or GED, some college experience preferred.
- Bilingual English and Spanish
- This position is an Hourly position with 40 hours per week Monday – Friday, with some overtime as needed
To submit your resume, please send it to:
Essential duties include, but are not limited to:
- Receive and process all credentialing/re-credentialing applications according to Company policies and procedure. Maintain accurate and complete records as to the status of each application.
- Data Entry of provider information into the computer system.
- Prepare new provider applications and re-credentialing applications for the Credentialing Committee to review.
- Attends Monthly Credentialing Committee meetings as needed and assist in preparation for meeting.
- Maintain timelines and re-credentialing schedules.
- Communicate with providers to update expired credentials, clarify information and other credentialing related issues.
- Maintain a strict level of confidentiality for all matters pertaining to provider credentials.
- Some overtime may be required.
Qualifications:
- Degree Preferred
- Two (2) or more years of URAC/NCQA compliant credentialing experience for MD's DO's, Allied Health Professionals and Health Delivery Organizations.
- Familiar with primary source verification entities, in-house verifications and all internet reference sites, such as: OIG, EPLS, HIPDS, DOF State of Florida, Florida Health Finder Facility Locator, etc.
- Applicant should have working knowledge of Microsoft Office products (excel, word)
To submit your resume, please send it to: